| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.59 | $100.15 | $141.94 | |
BCBS
| Professional | $163.26 | $181.40 | $181.40 | |
Cigna
| Facility | $181.40 | $181.40 | $181.40 | |
Cigna
| Professional | $113.28 | $163.95 | $249.79 | |
Providence
| Facility | $84.66 | $133.00 | $219.48 | |
Providence
| Professional | $121.27 | $198.14 | $310.88 | |
United
| Professional | $162.24 | $196.04 | $223.07 |