| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $196.42 | $762.40 | $1,267.16 | |
BCBS
| Professional | $388.57 | $388.57 | $388.57 | |
Cigna
| Facility | 26 | $115.15 | $115.15 | $142.35 |
Cigna
| Professional | $190.11 | $248.67 | $388.57 | |
Providence
| Facility | 26 | $115.15 | $115.15 | $142.35 |
Providence
| Professional | $230.01 | $303.80 | $448.95 | |
United
| Professional | $240.60 | $278.33 | $391.05 |