| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.54 | $52.53 | $264.45 | |
BCBS
| Professional | $75.06 | $75.06 | $75.06 | |
Cigna
| Facility | $52.17 | $80.89 | $80.89 | |
Cigna
| Professional | $52.17 | $80.89 | $80.89 | |
Providence
| Facility | $30.96 | $52.17 | $80.89 | |
Providence
| Professional | $44.10 | $52.17 | $80.89 | |
United
| Professional | $39.40 | $41.86 | $66.40 |