| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $832.53 | $2,887.60 | $2,887.60 | |
BCBS
| Professional | $733.02 | $733.02 | $733.02 | |
Cigna
| Facility | $485.57 | $788.15 | $788.15 | |
Cigna
| Professional | $485.57 | $640.92 | $788.15 | |
Providence
| Facility | $418.49 | $750.62 | $788.15 | |
Providence
| Professional | $485.57 | $591.53 | $788.71 | |
United
| Professional | $338.45 | $374.47 | $577.04 |