| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.04 | $34.04 | $34.04 | |
BCBS
| Professional | $39.65 | $39.65 | $39.65 | |
Cigna
| Facility | $42.92 | $42.92 | $42.92 | |
Cigna
| Professional | $42.92 | $42.92 | $42.92 | |
Providence
| Facility | $42.92 | $42.92 | $42.92 | |
Providence
| Professional | $26.64 | $26.64 | $42.92 | |
United
| Professional | $12.43 | $12.43 | $29.60 |