| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $220.00 | $233.65 | $550.72 | |
BCBS
| Professional | $511.08 | $511.08 | $511.08 | |
Cigna
| Facility | 26 | $150.90 | $150.90 | $186.55 |
Cigna
| Professional | $248.75 | $324.94 | $511.08 | |
Providence
| Facility | 26 | $150.90 | $150.90 | $186.55 |
Providence
| Professional | $304.08 | $397.51 | $590.40 | |
United
| Professional | $310.60 | $364.95 | $512.73 |