| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.92 | $44.92 | $44.92 | |
BCBS
| Professional | $13.37 | $13.37 | $13.37 | |
Cigna
| Facility | $57.45 | $57.45 | $122.52 | |
Cigna
| Professional | $57.45 | $122.52 | $122.52 | |
Providence
| Facility | $57.45 | $113.13 | $197.28 | |
Providence
| Professional | $57.45 | $122.52 | $122.52 | |
United
| Professional | $43.33 | $43.33 | $72.20 |