| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.81 | $62.49 | $122.67 | |
BCBS
| Professional | $49.95 | $49.95 | $134.08 | |
Cigna
| Facility | $49.95 | $49.95 | $51.21 | |
Cigna
| Professional | $42.35 | $65.34 | $134.08 | |
Providence
| Facility | $30.71 | $51.21 | $89.89 | |
Providence
| Professional | $32.95 | $79.90 | $134.80 | |
United
| Professional | $107.18 | $135.13 | $148.50 |