| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.01 | $80.00 | $133.00 | |
BCBS
| Professional | $88.86 | $88.86 | $157.21 | |
Cigna
| Professional | $79.97 | $99.01 | $157.21 | |
Providence
| Facility | $54.62 | $95.70 | $392.70 | |
Providence
| Professional | $60.29 | $97.37 | $157.21 | |
United
| Professional | $140.13 | $163.03 | $191.63 |