| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.80 | $33.46 | $159.66 | |
BCBS
| Professional | $56.00 | $56.00 | $56.00 | |
Cigna
| Facility | $33.22 | $60.21 | $60.21 | |
Cigna
| Professional | $33.22 | $60.21 | $60.21 | |
Providence
| Facility | $28.24 | $57.34 | $60.21 | |
Providence
| Professional | $33.22 | $45.19 | $60.25 | |
United
| Professional | $22.84 | $25.27 | $38.67 |