| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.98 | $14.86 | $36.51 | |
BCBS
| Professional | $27.00 | $27.00 | $27.00 | |
Cigna
| Facility | $37.89 | $43.06 | $43.06 | |
Cigna
| Professional | $24.63 | $36.60 | $65.88 | |
Providence
| Facility | $13.28 | $14.86 | $37.89 | |
Providence
| Professional | $15.00 | $32.21 | $43.06 | |
United
| Professional | $66.95 | $78.59 | $114.70 |