| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.91 | $91.83 | $108.66 | |
BCBS
| Professional | $35.22 | $35.22 | $128.82 | |
Cigna
| Facility | 26 | $35.22 | $35.22 | $43.55 |
Cigna
| Professional | $66.67 | $128.82 | $209.93 | |
Providence
| Facility | 26 | $35.22 | $35.22 | $43.55 |
Providence
| Professional | $79.58 | $132.63 | $212.29 | |
United
| Professional | $89.23 | $100.25 | $162.88 |