| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.29 | $53.14 | $72.98 | |
BCBS
| Professional | $59.94 | $59.94 | $92.54 | |
Cigna
| Facility | $59.94 | $59.94 | $92.54 | |
Cigna
| Professional | $50.89 | $59.94 | $92.54 | |
Providence
| Facility | $35.15 | $55.28 | $79.78 | |
Providence
| Professional | $54.84 | $88.25 | $147.40 | |
United
| Professional | $95.21 | $112.51 | $135.79 |