| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $68.00 | $68.00 | $68.00 | |
BCBS
| Facility | $34.00 | $34.00 | $34.00 | |
BCBS
| Professional | $34.00 | $34.00 | $34.00 | |
Cigna
| Professional | $36.79 | $36.79 | $36.79 | |
Providence
| Professional | $22.83 | $22.83 | $40.59 | |
United
| Professional | $15.22 | $17.47 | $27.91 |