| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.13 | $78.66 | $112.05 | |
BCBS
| Professional | $73.14 | $87.49 | $87.49 | |
Cigna
| Facility | $112.52 | $134.60 | $134.60 | |
Cigna
| Professional | $43.21 | $95.64 | $136.00 | |
Providence
| Facility | $64.80 | $83.07 | $134.60 | |
Providence
| Professional | $36.00 | $101.65 | $170.39 | |
United
| Professional | $100.67 | $147.49 | $180.44 |