| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $85.42 | $93.27 | $135.79 | |
BCBS
| Professional | $164.58 | $164.58 | $164.58 | |
Cigna
| Facility | $164.58 | $164.58 | $166.22 | |
Cigna
| Professional | $92.85 | $116.28 | $173.25 | |
Providence
| Facility | $87.02 | $139.00 | $196.08 | |
Providence
| Professional | $100.29 | $192.20 | $278.52 | |
United
| Professional | $142.88 | $173.85 | $201.29 |