| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.34 | $88.03 | $129.15 | |
BCBS
| Professional | $130.13 | $144.60 | $144.60 | |
Cigna
| Professional | $81.84 | $144.60 | $165.31 | |
Providence
| Facility | $78.15 | $96.60 | $185.96 | |
Providence
| Professional | $94.14 | $156.03 | $234.66 | |
United
| Professional | $128.16 | $162.97 | $193.19 |