| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $91.73 | $106.98 | $167.29 | |
BCBS
| Professional | $167.20 | $167.20 | $167.20 | |
Cigna
| Facility | $164.58 | $164.58 | $198.75 | |
Cigna
| Professional | $82.11 | $139.88 | $450.33 | |
Providence
| Facility | $82.98 | $102.10 | $167.20 | |
Providence
| Professional | $97.70 | $158.61 | $256.35 | |
United
| Professional | $138.18 | $170.53 | $199.91 |