| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.00 | $50.00 | $50.00 | |
Aetna
| Professional | $35.00 | $48.00 | $739.00 | |
BCBS
| Professional | $92.15 | $190.00 | $351.50 | |
Cigna
| Professional | $275.00 | $315.00 | $390.00 | |
Providence
| Professional | $275.00 | $358.50 | $416.25 |