| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $121.79 | $143.28 | $156.74 | |
BCBS
| Professional | $85.71 | $85.71 | $210.74 | |
Cigna
| Facility | 26 | $85.71 | $85.71 | $105.95 |
Cigna
| Professional | $164.76 | $175.62 | $255.33 | |
Providence
| Facility | 26 | $85.71 | $85.71 | $105.95 |
Providence
| Professional | $110.64 | $165.97 | $239.40 | |
United
| Professional | $123.79 | $132.41 | $217.40 |