| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $152.40 | $528.62 | $528.62 | |
BCBS
| Professional | $140.76 | $140.76 | $140.76 | |
Cigna
| Facility | $90.07 | $151.35 | $151.35 | |
Cigna
| Professional | $90.07 | $123.08 | $151.35 | |
Providence
| Facility | $80.36 | $144.13 | $151.35 | |
Providence
| Professional | $90.07 | $113.60 | $151.46 | |
United
| Professional | $64.98 | $71.91 | $110.81 |