| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.28 | $290.24 | $353.50 | |
BCBS
| Professional | $84.48 | $84.48 | $84.48 | |
Cigna
| Professional | $35.88 | $66.81 | $66.81 | |
Providence
| Facility | $25.98 | $46.03 | $312.08 | |
Providence
| Professional | $35.88 | $49.89 | $66.81 | |
United
| Professional | $17.23 | $23.17 | $26.86 |