| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $160.06 | $160.06 | $757.00 | |
BCBS
| Professional | $284.06 | $284.06 | $284.06 | |
Cigna
| Facility | $175.81 | $305.42 | $305.42 | |
Cigna
| Professional | $175.81 | $248.37 | $305.42 | |
Providence
| Facility | $148.58 | $290.88 | $305.42 | |
Providence
| Professional | $175.81 | $229.23 | $305.64 | |
United
| Professional | $120.17 | $132.96 | $177.28 |