| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $60.56 | $92.90 | $443.40 | |
BCBS
| Professional | $155.38 | $155.38 | $155.38 | |
Cigna
| Facility | $88.85 | $167.07 | $167.07 | |
Cigna
| Professional | $88.85 | $135.86 | $167.07 | |
Providence
| Facility | $78.41 | $159.11 | $167.07 | |
Providence
| Professional | $88.85 | $125.39 | $167.18 | |
United
| Professional | $63.41 | $70.16 | $80.31 |