| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.50 | $39.31 | $252.76 | |
BCBS
| Professional | $52.68 | $52.68 | $52.68 | |
Cigna
| Facility | $57.00 | $66.83 | $224.07 | |
Cigna
| Professional | $57.00 | $57.00 | $57.00 | |
Providence
| Facility | $57.00 | $66.83 | $224.07 | |
Providence
| Professional | $35.38 | $35.38 | $57.00 | |
United
| Professional | $16.51 | $16.51 | $39.31 |