| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.85 | $49.50 | $84.30 | |
BCBS
| Facility | $45.62 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $42.06 | $42.06 | $42.06 | |
Cigna
| Professional | $42.06 | $48.76 | $48.76 | |
Providence
| Facility | $42.06 | $42.06 | $42.06 | |
Providence
| Professional | $44.22 | $53.69 | $70.04 | |
United
| Professional | $49.20 | $49.20 | $52.25 |