| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.28 | $258.14 | $353.50 | |
BCBS
| Professional | $84.48 | $84.48 | $84.48 | |
Cigna
| Facility | $318.39 | $318.39 | $318.39 | |
Cigna
| Professional | $270.64 | $270.64 | $327.95 | |
Providence
| Facility | $15.29 | $87.82 | $383.98 | |
Providence
| Professional | $43.32 | $54.67 | $318.39 | |
United
| Professional | $23.17 | $23.17 | $30.98 |