| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $111.08 | $186.16 | $228.05 | |
BCBS
| Professional | $82.55 | $82.55 | $179.82 | |
Cigna
| Facility | 26 | $82.55 | $82.55 | $102.05 |
Cigna
| Professional | $179.82 | $281.81 | $523.54 | |
Providence
| Facility | 26 | $82.55 | $82.55 | $102.05 |
Providence
| Professional | $109.99 | $197.07 | $305.49 | |
United
| Professional | $128.12 | $195.25 | $238.10 |