| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $60.12 | $81.84 | $440.27 | |
BCBS
| Professional | $133.09 | $133.09 | $133.09 | |
Cigna
| Facility | $85.16 | $143.09 | $143.09 | |
Cigna
| Professional | $85.16 | $116.37 | $143.09 | |
Providence
| Facility | $75.98 | $136.28 | $143.09 | |
Providence
| Professional | $85.16 | $107.40 | $143.19 | |
United
| Professional | $61.45 | $67.98 | $104.04 |