| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.30 | $34.63 | $166.49 | |
BCBS
| Professional | $58.46 | $58.46 | $58.46 | |
Cigna
| Facility | $62.85 | $62.85 | $62.85 | |
Cigna
| Professional | $31.73 | $62.85 | $62.85 | |
Providence
| Facility | $54.93 | $59.86 | $62.85 | |
Providence
| Professional | $47.18 | $47.18 | $69.65 | |
United
| Professional | $25.07 | $26.35 | $43.92 |