| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $133.50 | $160.11 | $383.25 | |
BCBS
| Professional | $131.97 | $302.33 | $302.33 | |
Cigna
| Facility | 26 | $131.97 | $131.97 | $163.15 |
Cigna
| Professional | $158.50 | $302.33 | $436.82 | |
Providence
| Facility | 26 | $131.97 | $131.97 | $163.15 |
Providence
| Professional | $202.21 | $340.47 | $519.33 | |
United
| Professional | $196.16 | $202.46 | $355.56 |