| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.23 | $24.62 | $118.40 | |
BCBS
| Professional | $40.08 | $40.08 | $40.08 | |
Cigna
| Facility | $43.09 | $43.09 | $43.09 | |
Cigna
| Professional | $20.95 | $43.09 | $43.09 | |
Providence
| Facility | $30.81 | $39.06 | $43.09 | |
Providence
| Professional | $32.34 | $32.34 | $48.10 | |
United
| Professional | $15.73 | $17.39 | $19.92 |