| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $81.73 | $129.75 | $516.67 | |
BCBS
| Professional | $127.38 | $149.85 | $286.04 | |
Cigna
| Facility | $149.85 | $149.85 | $149.85 | |
Cigna
| Professional | $127.37 | $167.03 | $304.39 | |
Providence
| Facility | $84.60 | $163.78 | $278.75 | |
Providence
| Professional | $127.37 | $183.24 | $343.45 | |
United
| Professional | $247.69 | $305.66 | $334.01 |