| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $651.95 | $2,261.26 | $2,261.26 | |
BCBS
| Professional | $740.03 | $740.03 | $740.03 | |
Cigna
| Facility | $564.36 | $795.68 | $795.68 | |
Cigna
| Professional | $564.36 | $795.68 | $795.68 | |
Providence
| Facility | $372.61 | $757.79 | $795.68 | |
Providence
| Professional | $564.36 | $597.20 | $796.26 | |
United
| Professional | $301.35 | $333.42 | $528.80 |