| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $62.45 | $349.15 | $349.15 | |
BCBS
| Professional | $72.76 | $72.76 | $72.76 | |
Cigna
| Facility | $78.73 | $105.89 | $160.46 | |
Cigna
| Professional | $62.36 | $77.95 | $78.73 | |
Providence
| Facility | $78.73 | $105.89 | $160.46 | |
Providence
| Professional | $48.87 | $48.87 | $78.73 | |
United
| Professional | $22.81 | $22.81 | $54.30 |