| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $55.47 | $64.05 | $91.37 | |
BCBS
| Professional | $102.69 | $114.10 | $114.10 | |
Cigna
| Facility | $114.10 | $114.10 | $114.10 | |
Cigna
| Professional | $71.29 | $102.69 | $163.19 | |
Providence
| Facility | $51.81 | $69.50 | $119.01 | |
Providence
| Professional | $76.76 | $126.29 | $196.77 | |
United
| Professional | $102.93 | $127.02 | $144.55 |