| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.77 | $56.09 | $132.74 | |
BCBS
| Professional | $59.63 | $59.63 | $139.13 | |
Cigna
| Professional | $59.63 | $89.62 | $159.47 | |
Providence
| Facility | $41.07 | $89.72 | $572.22 | |
Providence
| Professional | $44.16 | $77.98 | $159.47 | |
United
| Professional | $113.85 | $155.12 | $185.59 |