| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $73.75 | $90.65 | $540.00 | |
BCBS
| Professional | $147.40 | $147.40 | $147.40 | |
Cigna
| Facility | $117.36 | $158.49 | $158.49 | |
Cigna
| Professional | $117.36 | $128.88 | $158.49 | |
Providence
| Facility | $84.15 | $150.94 | $158.49 | |
Providence
| Professional | $117.36 | $118.95 | $158.60 | |
United
| Professional | $68.06 | $75.31 | $86.20 |