| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.00 | $61.78 | $99.07 | |
BCBS
| Professional | $38.38 | $38.38 | $94.12 | |
Cigna
| Facility | 26 | $38.38 | $38.38 | $47.45 |
Cigna
| Professional | $64.80 | $90.21 | $134.06 | |
Providence
| Facility | 26 | $38.38 | $38.38 | $47.45 |
Providence
| Professional | $58.55 | $94.12 | $150.84 | |
United
| Professional | $55.85 | $61.95 | $105.84 |