| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.14 | $462.31 | $462.31 | |
BCBS
| Professional | $128.71 | $128.71 | $128.71 | |
Cigna
| Facility | $75.09 | $138.38 | $138.38 | |
Cigna
| Professional | $75.09 | $112.54 | $138.38 | |
Providence
| Facility | $66.98 | $131.80 | $138.38 | |
Providence
| Professional | $75.09 | $103.87 | $138.49 | |
United
| Professional | $54.19 | $59.95 | $91.74 |