| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $109.24 | $610.79 | $610.79 | |
BCBS
| Professional | $127.29 | $127.29 | $127.29 | |
Cigna
| Facility | $137.74 | $161.47 | $541.44 | |
Cigna
| Professional | $137.74 | $137.74 | $137.74 | |
Providence
| Facility | $137.74 | $161.47 | $541.44 | |
Providence
| Professional | $85.49 | $85.49 | $137.74 | |
United
| Professional | $39.90 | $39.90 | $94.99 |