| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.60 | $52.00 | $52.00 | |
BCBS
| Professional | $59.22 | $59.22 | $59.22 | |
Cigna
| Facility | $64.05 | $64.05 | $64.05 | |
Cigna
| Professional | $21.25 | $64.05 | $64.05 | |
Providence
| Facility | $59.22 | $61.00 | $64.05 | |
Providence
| Professional | $59.22 | $64.05 | $74.03 | |
United
| Professional | $35.53 | $35.53 | $35.53 |