| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.84 | $86.03 | $127.74 | |
BCBS
| Professional | $30.50 | $30.50 | $130.91 | |
Cigna
| Facility | 26 | $30.50 | $30.50 | $36.25 |
Cigna
| Professional | $31.76 | $117.83 | $349.61 | |
Providence
| Facility | 26 | $30.50 | $30.50 | $36.25 |
Providence
| Professional | $83.14 | $130.91 | $200.72 | |
United
| Professional | $77.72 | $144.66 | $174.08 |