| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $435.45 | $1,510.35 | $1,510.35 | |
BCBS
| Professional | $525.12 | $525.12 | $525.12 | |
Cigna
| Facility | $260.88 | $564.61 | $564.61 | |
Cigna
| Professional | $260.88 | $459.15 | $564.61 | |
Providence
| Facility | $224.84 | $537.72 | $564.61 | |
Providence
| Professional | $260.88 | $423.77 | $565.02 | |
United
| Professional | $181.84 | $201.20 | $310.04 |