| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.25 | $70.23 | $210.69 | |
BCBS
| Professional | $77.81 | $77.81 | $126.19 | |
Cigna
| Facility | $77.81 | $77.81 | $77.81 | |
Cigna
| Professional | $66.15 | $88.07 | $130.94 | |
Providence
| Facility | $44.10 | $76.51 | $136.50 | |
Providence
| Professional | $66.15 | $95.36 | $148.40 | |
United
| Professional | $119.78 | $130.97 | $140.71 |