| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.32 | $47.17 | $69.90 | |
BCBS
| Professional | $47.85 | $47.85 | $79.92 | |
Cigna
| Facility | $47.85 | $47.85 | $95.00 | |
Cigna
| Professional | $40.67 | $67.33 | $107.11 | |
Providence
| Facility | $27.88 | $47.26 | $72.66 | |
Providence
| Professional | $31.90 | $49.07 | $78.18 | |
United
| Professional | $75.40 | $85.55 | $104.66 |