| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $293.43 | $475.00 | $572.90 | |
BCBS
| Professional | $106.74 | $106.74 | $345.45 | |
Cigna
| Facility | 26 | $155.11 | $155.11 | $191.75 |
Cigna
| Professional | $384.03 | $519.69 | $918.77 | |
Providence
| Facility | 26 | $155.11 | $155.11 | $191.75 |
Providence
| Professional | $343.56 | $544.73 | $883.25 | |
United
| Professional | $335.29 | $615.41 | $910.28 |