| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $137.90 | $209.05 | $256.43 | |
BCBS
| Professional | $80.45 | $80.45 | $226.09 | |
Cigna
| Facility | 26 | $80.45 | $80.45 | $99.45 |
Cigna
| Professional | $215.38 | $339.70 | $533.72 | |
Providence
| Facility | 26 | $80.45 | $80.45 | $99.45 |
Providence
| Professional | $137.53 | $251.30 | $372.60 | |
United
| Professional | $153.38 | $216.75 | $395.91 |