| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.89 | $26.81 | $114.41 | |
BCBS
| Professional | $28.87 | $28.87 | $122.56 | |
Cigna
| Professional | $28.86 | $42.27 | $136.18 | |
Providence
| Facility | $20.05 | $78.66 | $392.70 | |
Providence
| Professional | $21.38 | $36.08 | $136.18 | |
United
| Professional | $104.40 | $129.91 | $155.44 |