| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.79 | $19.79 | $19.79 | |
BCBS
| Professional | $23.06 | $23.06 | $23.06 | |
Cigna
| Facility | $24.95 | $24.95 | $24.95 | |
Cigna
| Professional | $24.95 | $24.95 | $24.95 | |
Providence
| Facility | $24.95 | $24.95 | $24.95 | |
Providence
| Professional | $15.49 | $15.49 | $24.95 | |
United
| Professional | $7.23 | $7.23 | $17.21 |