| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.35 | $35.35 | $35.35 | |
BCBS
| Professional | $10.64 | $10.64 | $10.64 | |
Cigna
| Facility | $55.97 | $55.97 | $106.12 | |
Cigna
| Professional | $55.97 | $95.45 | $106.12 | |
Providence
| Facility | $55.97 | $95.72 | $152.72 | |
Providence
| Professional | $55.97 | $95.45 | $106.12 | |
United
| Professional | $41.89 | $41.89 | $69.81 |