| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $176.27 | $176.27 | $176.27 | |
Aetna
| Professional | $141.38 | $149.83 | $171.61 | |
BCBS
| Professional | $71.77 | $108.74 | $122.85 | |
Cigna
| Facility | $164.66 | $164.66 | $164.66 | |
Cigna
| Professional | $164.66 | $164.66 | $164.66 | |
Providence
| Facility | $74.06 | $127.94 | $164.66 | |
Providence
| Professional | $164.66 | $164.66 | $164.66 | |
United
| Professional | $166.13 | $176.27 | $176.42 |