| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.92 | $51.04 | $185.00 | |
BCBS
| Professional | $84.13 | $84.13 | $84.13 | |
Cigna
| Facility | $84.13 | $84.13 | $100.00 | |
Cigna
| Professional | $54.68 | $78.66 | $121.98 | |
Providence
| Facility | $41.92 | $69.56 | $103.10 | |
Providence
| Professional | $49.04 | $74.23 | $100.61 | |
United
| Professional | $83.71 | $93.37 | $132.01 |