| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.88 | $23.88 | $23.88 | |
Aetna
| Professional | $8.11 | $19.17 | $24.66 | |
BCBS
| Professional | $21.03 | $21.03 | $27.34 | |
Cigna
| Facility | $21.03 | $27.34 | $27.34 | |
Cigna
| Professional | $20.48 | $21.03 | $27.34 | |
Providence
| Facility | $11.12 | $19.05 | $27.34 | |
Providence
| Professional | $12.38 | $21.03 | $27.34 | |
United
| Professional | $21.67 | $40.02 | $56.58 |