| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.25 | $7.25 | $7.25 | |
BCBS
| Professional | $1.95 | $1.95 | $1.95 | |
Cigna
| Facility | $10.87 | $10.87 | $19.23 | |
Cigna
| Professional | $10.87 | $16.94 | $19.23 | |
Providence
| Facility | $10.87 | $19.23 | $27.10 | |
Providence
| Professional | $10.87 | $16.94 | $19.23 | |
United
| Professional | $7.82 | $7.82 | $13.03 |