| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $136.38 | $190.25 | $998.60 | |
BCBS
| Professional | $350.10 | $350.10 | $350.10 | |
Cigna
| Facility | $197.94 | $376.43 | $376.43 | |
Cigna
| Professional | $197.94 | $306.12 | $376.43 | |
Providence
| Facility | $176.62 | $358.50 | $376.43 | |
Providence
| Professional | $197.94 | $282.52 | $376.70 | |
United
| Professional | $142.84 | $158.03 | $180.91 |