| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $157.55 | $880.91 | $880.91 | |
BCBS
| Professional | $183.58 | $183.58 | $183.58 | |
Cigna
| Facility | $198.65 | $232.90 | $780.90 | |
Cigna
| Professional | $64.64 | $198.65 | $198.65 | |
Providence
| Facility | $198.65 | $232.90 | $780.90 | |
Providence
| Professional | $123.30 | $123.30 | $198.65 | |
United
| Professional | $57.54 | $57.54 | $137.00 |