| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.58 | $50.40 | $70.20 | |
BCBS
| Facility | $35.65 | $35.65 | $35.65 | |
BCBS
| Professional | $35.65 | $35.65 | $35.65 | |
Cigna
| Professional | $38.58 | $38.58 | $38.58 | |
Providence
| Professional | $23.95 | $23.95 | $42.58 | |
United
| Professional | $15.97 | $21.65 | $29.27 |