| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.00 | $59.89 | $87.00 | |
BCBS
| Professional | $35.61 | $35.61 | $35.61 | |
Cigna
| Facility | $38.29 | $38.29 | $38.29 | |
Cigna
| Professional | $14.88 | $38.29 | $38.29 | |
Providence
| Facility | $34.72 | $38.29 | $107.53 | |
Providence
| Professional | $28.75 | $28.75 | $42.74 | |
United
| Professional | $14.82 | $15.47 | $25.78 |