| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $132.00 | $216.27 | $356.67 | |
BCBS
| Professional | $217.68 | $217.68 | $343.35 | |
Cigna
| Facility | $217.68 | $217.68 | $217.68 | |
Cigna
| Professional | $217.68 | $229.31 | $364.91 | |
Providence
| Facility | $133.44 | $364.65 | $409.86 | |
Providence
| Professional | $141.94 | $227.83 | $364.91 | |
United
| Professional | $286.11 | $359.04 | $604.94 |