| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.39 | $50.39 | $55.44 | |
BCBS
| Professional | $92.89 | $92.89 | $92.89 | |
Cigna
| Facility | $58.60 | $99.88 | $99.88 | |
Cigna
| Professional | $58.60 | $99.88 | $99.88 | |
Providence
| Facility | $46.78 | $95.12 | $99.88 | |
Providence
| Professional | $58.60 | $74.95 | $99.95 | |
United
| Professional | $37.84 | $41.86 | $64.06 |