| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.28 | $412.10 | $412.10 | |
BCBS
| Professional | $144.55 | $144.55 | $144.55 | |
Cigna
| Facility | $81.70 | $155.41 | $155.41 | |
Cigna
| Professional | $81.70 | $126.38 | $155.41 | |
Providence
| Facility | $72.89 | $148.02 | $155.41 | |
Providence
| Professional | $81.70 | $116.65 | $155.53 | |
United
| Professional | $58.95 | $65.23 | $99.81 |