| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $84.85 | $84.85 | $93.34 | |
BCBS
| Professional | $163.88 | $163.88 | $163.88 | |
Cigna
| Facility | $102.60 | $176.20 | $176.20 | |
Cigna
| Professional | $102.60 | $143.30 | $176.20 | |
Providence
| Facility | $78.78 | $167.81 | $176.20 | |
Providence
| Professional | $102.60 | $132.26 | $176.34 | |
United
| Professional | $63.71 | $70.48 | $80.69 |