| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.78 | $123.29 | $123.29 | |
BCBS
| Professional | $44.25 | $44.25 | $44.25 | |
Cigna
| Facility | $29.14 | $47.52 | $47.52 | |
Cigna
| Professional | $29.14 | $47.52 | $47.52 | |
Providence
| Facility | $19.82 | $45.26 | $47.52 | |
Providence
| Professional | $30.01 | $35.61 | $47.52 | |
United
| Professional | $16.03 | $19.19 | $33.53 |