| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.01 | $506.63 | $506.63 | |
BCBS
| Professional | $27.87 | $27.87 | $674.60 | |
Cigna
| Facility | $27.87 | $27.87 | $801.88 | |
Cigna
| Professional | $27.87 | $29.68 | $674.60 | |
Providence
| Facility | $17.14 | $27.87 | $635.54 | |
Providence
| Professional | $23.69 | $222.17 | $852.48 | |
United
| Professional | $75.95 | $329.86 | $329.86 |