| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $101.11 | $120.73 | $740.36 | |
BCBS
| Professional | $207.90 | $207.90 | $207.90 | |
Cigna
| Facility | $125.61 | $223.53 | $223.53 | |
Cigna
| Professional | $125.61 | $223.53 | $223.53 | |
Providence
| Facility | $115.10 | $212.89 | $223.53 | |
Providence
| Professional | $167.77 | $171.49 | $225.69 | |
United
| Professional | $90.64 | $100.29 | $153.46 |