| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $163.24 | $163.24 | $179.56 | |
BCBS
| Facility | $384.90 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $170.89 | $170.89 | $297.94 | |
Cigna
| Professional | $170.89 | $179.39 | $179.39 | |
Providence
| Facility | $170.89 | $170.89 | $297.94 | |
Providence
| Professional | $102.70 | $157.99 | $202.47 | |
United
| Professional | $186.43 | $186.43 | $197.98 |