| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.76 | $64.80 | $101.91 | |
BCBS
| Facility | $31.43 | $31.43 | $64,999.99 | |
BCBS
| Professional | $31.43 | $31.43 | $31.43 | |
Cigna
| Facility | $21.22 | $33.79 | $33.79 | |
Cigna
| Professional | $21.86 | $33.79 | $33.79 | |
Providence
| Facility | $17.20 | $32.18 | $33.79 | |
Providence
| Professional | $24.17 | $25.92 | $33.82 | |
United
| Professional | $13.54 | $14.98 | $17.62 |