| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.28 | $59.35 | $331.52 | |
BCBS
| Professional | $84.16 | $84.16 | $84.16 | |
Cigna
| Facility | $53.85 | $90.49 | $90.49 | |
Cigna
| Professional | $53.85 | $90.49 | $90.49 | |
Providence
| Facility | $38.52 | $86.18 | $90.49 | |
Providence
| Professional | $53.85 | $67.91 | $99.11 | |
United
| Professional | $40.47 | $43.00 | $50.59 |