| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $113.87 | $174.88 | $587.27 | |
BCBS
| Professional | $87.28 | $87.28 | $182.45 | |
Cigna
| Facility | 26 | $87.28 | $87.28 | $107.90 |
Cigna
| Professional | $122.63 | $182.45 | $263.58 | |
Providence
| Facility | 26 | $87.28 | $87.28 | $107.90 |
Providence
| Professional | $123.73 | $200.79 | $317.17 | |
United
| Professional | $123.43 | $123.43 | $206.79 |