| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.54 | $42.65 | $63.76 | |
BCBS
| Professional | $53.95 | $59.94 | $90.44 | |
Cigna
| Facility | $59.94 | $90.44 | $90.44 | |
Cigna
| Professional | $53.34 | $59.94 | $90.44 | |
Providence
| Facility | $31.32 | $47.33 | $70.06 | |
Providence
| Professional | $49.99 | $69.95 | $118.25 | |
United
| Professional | $96.90 | $114.00 | $137.13 |