| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $189.06 | $212.87 | $323.38 | |
BCBS
| Professional | $327.05 | $327.05 | $327.05 | |
Cigna
| Facility | $321.26 | $321.26 | $388.75 | |
Cigna
| Professional | $167.80 | $273.07 | $869.00 | |
Providence
| Facility | $169.89 | $200.33 | $327.05 | |
Providence
| Professional | $198.31 | $325.14 | $500.41 | |
United
| Professional | $305.49 | $335.44 | $407.33 |