| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.09 | $17.09 | $17.09 | |
BCBS
| Professional | $19.91 | $19.91 | $19.91 | |
Cigna
| Facility | $21.55 | $21.55 | $21.55 | |
Cigna
| Professional | $21.55 | $21.55 | $21.55 | |
Providence
| Facility | $21.55 | $21.55 | $21.55 | |
Providence
| Professional | $13.37 | $13.37 | $21.55 | |
United
| Professional | $6.24 | $6.24 | $14.86 |