| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.35 | $222.25 | $222.25 | |
BCBS
| Professional | $73.31 | $73.31 | $73.31 | |
Cigna
| Facility | $36.72 | $78.81 | $78.81 | |
Cigna
| Professional | $36.72 | $64.09 | $78.81 | |
Providence
| Facility | $36.72 | $75.06 | $78.81 | |
Providence
| Professional | $36.72 | $59.16 | $78.88 | |
United
| Professional | $30.41 | $33.65 | $51.49 |