| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $122.96 | $426.46 | $426.46 | |
BCBS
| Professional | $149.49 | $149.49 | $149.49 | |
Cigna
| Facility | $98.15 | $160.72 | $160.72 | |
Cigna
| Professional | $98.15 | $130.71 | $160.72 | |
Providence
| Facility | $75.42 | $153.08 | $160.72 | |
Providence
| Professional | $98.15 | $120.64 | $160.85 | |
United
| Professional | $60.99 | $67.48 | $121.32 |