| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.70 | $33.70 | $176.90 | |
BCBS
| Professional | $62.03 | $62.03 | $62.03 | |
Cigna
| Facility | $35.07 | $66.70 | $66.70 | |
Cigna
| Professional | $35.07 | $66.70 | $66.70 | |
Providence
| Facility | $31.29 | $63.52 | $66.70 | |
Providence
| Professional | $35.07 | $50.06 | $66.73 | |
United
| Professional | $25.30 | $28.00 | $42.84 |