| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $110.26 | $135.36 | $396.41 | |
BCBS
| Professional | $42.06 | $42.06 | $212.95 | |
Cigna
| Facility | 26 | $42.06 | $42.06 | $52.00 |
Cigna
| Professional | $97.34 | $162.11 | $273.33 | |
Providence
| Facility | 26 | $42.06 | $42.06 | $52.00 |
Providence
| Professional | $133.61 | $212.95 | $341.90 | |
United
| Professional | $101.77 | $128.47 | $225.63 |