| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $165.44 | $250.77 | $1,435.13 | |
BCBS
| Professional | $155.11 | $155.11 | $401.71 | |
Cigna
| Facility | 26 | $155.11 | $155.11 | $191.75 |
Cigna
| Professional | $185.31 | $348.20 | $556.52 | |
Providence
| Facility | 26 | $155.11 | $155.11 | $191.75 |
Providence
| Professional | $252.65 | $421.12 | $701.73 | |
United
| Professional | $202.43 | $252.63 | $443.66 |