| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.89 | $32.89 | $172.67 | |
BCBS
| Professional | $60.52 | $60.52 | $60.52 | |
Cigna
| Facility | $34.22 | $65.06 | $65.06 | |
Cigna
| Professional | $34.22 | $65.06 | $65.06 | |
Providence
| Facility | $30.54 | $61.97 | $65.06 | |
Providence
| Professional | $34.22 | $48.84 | $65.12 | |
United
| Professional | $24.70 | $27.32 | $45.54 |