| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.89 | $89.80 | $89.80 | |
BCBS
| Professional | $22.79 | $22.79 | $22.79 | |
Cigna
| Facility | $16.29 | $24.51 | $24.51 | |
Cigna
| Professional | $16.29 | $24.51 | $24.51 | |
Providence
| Facility | $13.02 | $23.34 | $24.51 | |
Providence
| Professional | $18.39 | $18.80 | $26.35 | |
United
| Professional | $10.52 | $11.65 | $17.95 |