| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.80 | $96.40 | $96.40 | |
BCBS
| Professional | $28.79 | $28.79 | $28.79 | |
Cigna
| Facility | $18.44 | $30.95 | $30.95 | |
Cigna
| Professional | $18.44 | $25.16 | $30.95 | |
Providence
| Facility | $14.81 | $29.48 | $30.95 | |
Providence
| Professional | $18.44 | $23.23 | $30.97 | |
United
| Professional | $11.98 | $13.25 | $20.43 |