| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $532.29 | $1,846.21 | $1,846.21 | |
BCBS
| Professional | $783.92 | $783.92 | $783.92 | |
Cigna
| Facility | $382.03 | $842.88 | $842.88 | |
Cigna
| Professional | $382.03 | $685.43 | $842.88 | |
Providence
| Facility | $335.66 | $802.74 | $842.88 | |
Providence
| Professional | $382.03 | $632.61 | $843.48 | |
United
| Professional | $271.47 | $300.36 | $476.36 |