| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.53 | $48.00 | $58.54 | |
BCBS
| Facility | $62.79 | $68,999.99 | $94,999.99 | |
Cigna
| Facility | $54.85 | $54.85 | $115.13 | |
Cigna
| Professional | $47.52 | $47.52 | $54.85 | |
Providence
| Facility | $54.85 | $54.85 | $115.13 | |
Providence
| Professional | $47.52 | $51.55 | $67.25 | |
United
| Professional | $47.53 | $47.53 | $47.53 |