| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.22 | $243.32 | $243.32 | |
BCBS
| Professional | $87.48 | $87.48 | $87.48 | |
Cigna
| Facility | $43.58 | $94.06 | $94.06 | |
Cigna
| Professional | $43.58 | $76.48 | $94.06 | |
Providence
| Facility | $38.89 | $89.58 | $94.06 | |
Providence
| Professional | $43.58 | $70.59 | $94.13 | |
United
| Professional | $31.45 | $34.79 | $53.26 |