| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $125.50 | $125.50 | $138.05 | |
BCBS
| Facility | $295.30 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $135.13 | $135.13 | $235.57 | |
Cigna
| Professional | $135.13 | $137.94 | $137.94 | |
Providence
| Facility | $135.13 | $135.13 | $235.57 | |
Providence
| Professional | $80.97 | $124.56 | $159.72 | |
United
| Professional | $166.84 | $166.84 | $177.18 |