| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $161.62 | $161.62 | $161.62 | |
BCBS
| Professional | $47.78 | $47.78 | $47.78 | |
Cigna
| Facility | $243.78 | $243.78 | $476.20 | |
Cigna
| Professional | $243.78 | $443.67 | $476.20 | |
Providence
| Facility | $243.78 | $407.07 | $709.87 | |
Providence
| Professional | $243.78 | $443.67 | $476.20 | |
United
| Professional | $187.15 | $187.15 | $311.92 |