| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.92 | $43.73 | $115.36 | |
BCBS
| Professional | $47.32 | $47.32 | $123.04 | |
Cigna
| Professional | $47.32 | $67.61 | $136.71 | |
Providence
| Facility | $32.32 | $78.95 | $230.01 | |
Providence
| Professional | $36.10 | $57.62 | $136.71 | |
United
| Professional | $111.78 | $136.08 | $162.81 |