| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $228.66 | $768.85 | $768.85 | |
BCBS
| Professional | $260.22 | $260.22 | $260.22 | |
Cigna
| Facility | $178.39 | $279.79 | $279.79 | |
Cigna
| Professional | $178.39 | $279.79 | $279.79 | |
Providence
| Facility | $133.69 | $266.47 | $279.79 | |
Providence
| Professional | $183.74 | $210.00 | $280.00 | |
United
| Professional | $108.14 | $119.65 | $204.85 |