| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.50 | $39.31 | $330.82 | |
BCBS
| Professional | $68.94 | $68.94 | $68.94 | |
Cigna
| Facility | $74.59 | $87.47 | $293.27 | |
Cigna
| Professional | $74.59 | $74.59 | $74.59 | |
Providence
| Facility | $74.59 | $87.47 | $293.27 | |
Providence
| Professional | $46.31 | $46.31 | $74.59 | |
United
| Professional | $21.61 | $21.61 | $51.45 |