| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.50 | $39.31 | $303.82 | |
BCBS
| Professional | $63.32 | $63.32 | $63.32 | |
Cigna
| Facility | $68.51 | $80.33 | $269.33 | |
Cigna
| Professional | $68.51 | $68.51 | $68.51 | |
Providence
| Facility | $68.51 | $80.33 | $269.33 | |
Providence
| Professional | $42.53 | $42.53 | $68.51 | |
United
| Professional | $19.85 | $19.85 | $47.25 |