| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.90 | $112.90 | $559.82 | |
BCBS
| Professional | $196.03 | $196.03 | $196.03 | |
Cigna
| Facility | $127.07 | $210.77 | $210.77 | |
Cigna
| Professional | $127.07 | $210.77 | $210.77 | |
Providence
| Facility | $127.07 | $200.73 | $210.77 | |
Providence
| Professional | $158.19 | $161.69 | $210.92 | |
United
| Professional | $84.67 | $89.95 | $142.66 |