| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.57 | $68.34 | $326.32 | |
BCBS
| Professional | $114.33 | $114.33 | $114.33 | |
Cigna
| Facility | $64.66 | $122.92 | $122.92 | |
Cigna
| Professional | $64.66 | $99.97 | $122.92 | |
Providence
| Facility | $57.68 | $117.07 | $122.92 | |
Providence
| Professional | $64.66 | $92.26 | $123.01 | |
United
| Professional | $46.66 | $51.62 | $78.98 |