| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.22 | $22.07 | $28.42 | |
BCBS
| Facility | $29.58 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $24.95 | $24.95 | $35.79 | |
Cigna
| Professional | $21.82 | $21.82 | $24.95 | |
Providence
| Facility | $24.95 | $24.95 | $35.79 | |
Providence
| Professional | $21.82 | $23.94 | $31.23 | |
United
| Professional | $22.28 | $22.28 | $23.66 |