| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $76.70 | $79.79 | $428.88 | |
BCBS
| Professional | $89.38 | $89.38 | $89.38 | |
Cigna
| Facility | $96.72 | $130.07 | $197.10 | |
Cigna
| Professional | $48.48 | $95.51 | $96.72 | |
Providence
| Facility | $96.72 | $113.39 | $197.10 | |
Providence
| Professional | $60.03 | $66.70 | $96.72 | |
United
| Professional | $28.01 | $28.01 | $91.72 |