| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $174.64 | $205.63 | $293.61 | |
BCBS
| Professional | $325.10 | $361.22 | $361.22 | |
Cigna
| Facility | $361.22 | $361.22 | $361.22 | |
Cigna
| Professional | $225.63 | $326.39 | $497.02 | |
Providence
| Facility | $167.98 | $276.74 | $485.13 | |
Providence
| Professional | $240.79 | $396.27 | $617.27 | |
United
| Professional | $310.04 | $396.36 | $451.83 |