| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $130.26 | $451.83 | $451.83 | |
BCBS
| Professional | $114.69 | $114.69 | $114.69 | |
Cigna
| Facility | $97.44 | $123.32 | $123.32 | |
Cigna
| Professional | $97.44 | $103.88 | $123.32 | |
Providence
| Facility | $65.48 | $117.45 | $123.32 | |
Providence
| Professional | $92.56 | $97.44 | $123.41 | |
United
| Professional | $52.96 | $58.60 | $92.93 |