| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.25 | $67.26 | $376.09 | |
BCBS
| Professional | $78.38 | $78.38 | $78.38 | |
Cigna
| Facility | $84.81 | $99.43 | $333.39 | |
Cigna
| Professional | $84.81 | $84.81 | $84.81 | |
Providence
| Facility | $84.81 | $99.43 | $333.39 | |
Providence
| Professional | $52.64 | $52.64 | $84.81 | |
United
| Professional | $24.57 | $24.57 | $58.49 |