| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.69 | $12.70 | $37.13 | |
BCBS
| Professional | $42.26 | $42.26 | $42.26 | |
Cigna
| Facility | $45.43 | $45.43 | $45.43 | |
Cigna
| Professional | $22.09 | $45.43 | $45.43 | |
Providence
| Facility | $32.47 | $41.19 | $45.43 | |
Providence
| Professional | $34.10 | $34.10 | $50.71 | |
United
| Professional | $15.00 | $15.00 | $15.00 |