| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $139.46 | $184.50 | $261.04 | |
BCBS
| Professional | $43.12 | $43.12 | $277.62 | |
Cigna
| Facility | 26 | $43.12 | $43.12 | $51.25 |
Cigna
| Professional | $72.97 | $235.98 | $670.45 | |
Providence
| Facility | 26 | $43.12 | $43.12 | $51.25 |
Providence
| Professional | $172.27 | $266.43 | $428.77 | |
United
| Professional | $128.34 | $229.09 | $490.00 |