| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $104.51 | $140.74 | $385.84 | |
BCBS
| Professional | $82.55 | $82.55 | $197.70 | |
Cigna
| Facility | 26 | $82.55 | $82.55 | $102.05 |
Cigna
| Professional | $189.93 | $306.95 | $529.92 | |
Providence
| Facility | 26 | $82.55 | $82.55 | $102.05 |
Providence
| Professional | $121.64 | $219.38 | $330.88 | |
United
| Professional | $140.38 | $221.73 | $349.64 |