| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.11 | $753.23 | $753.23 | |
BCBS
| Professional | $164.19 | $164.19 | $164.19 | |
Cigna
| Facility | $133.72 | $176.97 | $176.97 | |
Cigna
| Professional | $133.72 | $167.18 | $176.97 | |
Providence
| Facility | $92.75 | $133.72 | $176.97 | |
Providence
| Professional | $99.35 | $132.47 | $176.97 | |
United
| Professional | $88.28 | $97.68 | $149.47 |