| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $73.72 | $255.67 | $255.67 | |
BCBS
| Professional | $89.61 | $89.61 | $89.61 | |
Cigna
| Facility | $50.66 | $96.35 | $96.35 | |
Cigna
| Professional | $50.66 | $78.36 | $96.35 | |
Providence
| Facility | $45.20 | $91.76 | $96.35 | |
Providence
| Professional | $50.66 | $72.31 | $96.42 | |
United
| Professional | $36.54 | $40.45 | $64.14 |