| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.51 | $171.73 | $171.73 | |
BCBS
| Professional | $53.98 | $53.98 | $53.98 | |
Cigna
| Facility | $34.54 | $58.03 | $58.03 | |
Cigna
| Professional | $34.54 | $47.20 | $58.03 | |
Providence
| Facility | $30.82 | $55.27 | $58.03 | |
Providence
| Professional | $34.54 | $43.56 | $58.08 | |
United
| Professional | $24.92 | $27.58 | $42.50 |