| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.20 | $103.79 | $570.83 | |
BCBS
| Professional | $58.89 | $58.89 | $150.38 | |
Cigna
| Facility | 26 | $58.89 | $58.89 | $72.80 |
Cigna
| Professional | $90.86 | $150.38 | $219.89 | |
Providence
| Facility | 26 | $58.89 | $58.89 | $72.80 |
Providence
| Professional | $96.59 | $163.36 | $264.95 | |
United
| Professional | $100.69 | $107.41 | $176.83 |