| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.92 | $57.87 | $85.45 | |
BCBS
| Professional | $84.13 | $84.13 | $107.26 | |
Cigna
| Facility | $84.13 | $84.13 | $127.50 | |
Cigna
| Professional | $71.51 | $92.54 | $135.47 | |
Providence
| Facility | $47.43 | $67.44 | $111.09 | |
Providence
| Professional | $56.78 | $84.13 | $114.65 | |
United
| Professional | $104.40 | $112.28 | $142.91 |