| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.08 | $34.08 | $55.18 | |
Aetna
| Professional | $28.96 | $31.00 | $42.08 | |
BCBS
| Facility | $34.19 | $125.35 | $204.26 | |
BCBS
| Professional | $28.64 | $38.18 | $40.72 | |
Cigna
| Facility | $31.94 | $31.94 | $31.94 | |
Cigna
| Professional | $31.94 | $31.94 | $31.94 | |
Providence
| Facility | $28.52 | $31.94 | $31.94 | |
Providence
| Professional | $31.94 | $31.94 | $31.94 | |
United
| Professional | $34.08 | $34.08 | $38.86 |