| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.50 | $39.31 | $235.47 | |
BCBS
| Professional | $49.07 | $49.07 | $49.07 | |
Cigna
| Facility | $53.10 | $62.25 | $208.73 | |
Cigna
| Professional | $53.10 | $53.10 | $53.10 | |
Providence
| Facility | $53.10 | $62.25 | $208.73 | |
Providence
| Professional | $32.96 | $32.96 | $53.10 | |
United
| Professional | $15.38 | $15.38 | $36.61 |