| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.64 | $135.94 | $369.57 | |
BCBS
| Professional | $82.55 | $82.55 | $190.34 | |
Cigna
| Facility | 26 | $82.55 | $82.55 | $102.05 |
Cigna
| Professional | $183.53 | $290.23 | $532.04 | |
Providence
| Facility | 26 | $82.55 | $82.55 | $102.05 |
Providence
| Professional | $117.11 | $208.51 | $318.56 | |
United
| Professional | $132.44 | $207.76 | $234.88 |