| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.80 | $30.42 | $159.66 | |
BCBS
| Professional | $56.00 | $56.00 | $56.00 | |
Cigna
| Facility | $31.65 | $60.21 | $60.21 | |
Cigna
| Professional | $31.65 | $60.21 | $60.21 | |
Providence
| Facility | $28.24 | $57.34 | $60.21 | |
Providence
| Professional | $31.65 | $45.19 | $60.25 | |
United
| Facility | $29.25 | $29.25 | $31.59 | |
United
| Professional | $22.84 | $25.27 | $38.67 |