| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.75 | $41.34 | $216.48 | |
BCBS
| Professional | $66.25 | $66.25 | $66.25 | |
Cigna
| Facility | $66.25 | $66.25 | $66.25 | |
Cigna
| Professional | $38.69 | $38.69 | $66.25 | |
Providence
| Facility | $35.21 | $41.34 | $66.25 | |
Providence
| Professional | $38.69 | $77.34 | $106.79 | |
United
| Professional | $55.47 | $68.45 | $90.31 |