| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $278.80 | $475.00 | $638.00 | |
BCBS
| Professional | $119.36 | $119.36 | $435.36 | |
Cigna
| Facility | 26 | $119.36 | $119.36 | $147.55 |
Cigna
| Professional | $435.36 | $633.28 | $828.13 | |
Providence
| Facility | 26 | $119.36 | $119.36 | $147.55 |
Providence
| Professional | $297.22 | $474.25 | $717.46 | |
United
| Professional | $267.50 | $469.81 | $598.90 |