| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.03 | $294.77 | $438.94 | |
BCBS
| Professional | $137.22 | $137.22 | $137.22 | |
Cigna
| Facility | $137.22 | $137.22 | $137.22 | |
Cigna
| Professional | $92.15 | $319.52 | $732.79 | |
Providence
| Facility | $84.87 | $176.11 | $469.60 | |
Providence
| Professional | $116.65 | $342.26 | $861.74 | |
United
| Professional | $453.07 | $568.75 | $777.71 |