| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.81 | $254.87 | $254.87 | |
BCBS
| Professional | $67.27 | $67.27 | $67.27 | |
Cigna
| Facility | $55.83 | $72.31 | $72.31 | |
Cigna
| Professional | $51.78 | $72.31 | $72.31 | |
Providence
| Facility | $36.94 | $68.88 | $72.31 | |
Providence
| Professional | $54.29 | $55.83 | $75.40 | |
United
| Professional | $29.87 | $33.04 | $52.42 |