| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.78 | $84.95 | $125.20 | |
BCBS
| Professional | $303.91 | $357.54 | $357.54 | |
Cigna
| Professional | $358.76 | $398.62 | $398.62 | |
Providence
| Facility | $72.20 | $84.95 | $125.20 | |
Providence
| Professional | $398.62 | $398.62 | $398.62 | |
United
| Facility | $233.00 | $233.00 | $233.00 |