| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $226.42 | $785.33 | $785.33 | |
BCBS
| Professional | $213.02 | $213.02 | $213.02 | |
Cigna
| Facility | $170.15 | $229.04 | $229.04 | |
Cigna
| Professional | $170.15 | $186.25 | $229.04 | |
Providence
| Facility | $113.82 | $218.13 | $229.04 | |
Providence
| Professional | $170.15 | $171.90 | $229.20 | |
United
| Professional | $92.05 | $101.84 | $161.53 |