| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $116.13 | $192.09 | $230.92 | |
BCBS
| Professional | $83.08 | $83.08 | $187.18 | |
Cigna
| Facility | 26 | $83.08 | $83.08 | $102.70 |
Cigna
| Professional | $182.13 | $292.82 | $523.27 | |
Providence
| Facility | 26 | $83.08 | $83.08 | $102.70 |
Providence
| Professional | $115.81 | $203.21 | $315.04 | |
United
| Professional | $133.16 | $202.95 | $236.16 |