| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.29 | $448.78 | $448.78 | |
BCBS
| Professional | $157.33 | $157.33 | $157.33 | |
Cigna
| Facility | $88.96 | $169.17 | $169.17 | |
Cigna
| Professional | $88.96 | $169.17 | $169.17 | |
Providence
| Facility | $79.37 | $161.11 | $169.17 | |
Providence
| Professional | $88.96 | $126.96 | $169.28 | |
United
| Professional | $64.19 | $71.02 | $108.68 |