| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $81.31 | $282.04 | $282.04 | |
BCBS
| Professional | $71.59 | $71.59 | $71.59 | |
Cigna
| Facility | $45.81 | $76.98 | $76.98 | |
Cigna
| Professional | $45.81 | $62.60 | $76.98 | |
Providence
| Facility | $40.86 | $73.31 | $76.98 | |
Providence
| Professional | $45.81 | $57.78 | $79.72 | |
United
| Professional | $33.06 | $36.58 | $58.01 |