| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.50 | $39.31 | $302.20 | |
BCBS
| Professional | $62.98 | $62.98 | $62.98 | |
Cigna
| Facility | $68.15 | $79.90 | $267.89 | |
Cigna
| Professional | $68.15 | $68.15 | $68.15 | |
Providence
| Facility | $68.15 | $79.90 | $267.89 | |
Providence
| Professional | $42.30 | $42.30 | $68.15 | |
United
| Professional | $19.73 | $19.73 | $47.00 |