| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.08 | $37.08 | $77.37 | |
BCBS
| Professional | $58.89 | $58.89 | $58.89 | |
Cigna
| Professional | $53.00 | $60.79 | $113.54 | |
Providence
| Facility | $27.96 | $88.82 | $122.40 | |
Providence
| Professional | $55.00 | $77.91 | $93.91 | |
United
| Professional | $85.68 | $96.88 | $114.18 |