| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.15 | $41.15 | $41.15 | |
BCBS
| Facility | $67.59 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $29.97 | $29.97 | $65.81 | |
Cigna
| Professional | $29.97 | $42.14 | $42.14 | |
Providence
| Facility | $29.97 | $29.97 | $65.81 | |
Providence
| Professional | $19.98 | $30.73 | $47.26 | |
United
| Professional | $41.31 | $41.31 | $41.31 |