| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $110.39 | $110.39 | $574.39 | |
BCBS
| Professional | $179.50 | $179.50 | $179.50 | |
Cigna
| Facility | $126.23 | $192.99 | $192.99 | |
Cigna
| Professional | $126.23 | $156.94 | $192.99 | |
Providence
| Facility | $102.47 | $183.80 | $192.99 | |
Providence
| Professional | $126.23 | $144.85 | $211.07 | |
United
| Professional | $82.88 | $91.70 | $104.97 |