| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.10 | $87.10 | $398.11 | |
BCBS
| Professional | $416.87 | $416.87 | $416.87 | |
Cigna
| Professional | $416.87 | $416.87 | $457.09 | |
Providence
| Facility | $87.10 | $123.03 | $758.58 | |
Providence
| Professional | $60.26 | $79.43 | $389.05 |