| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.48 | $17.48 | $62.00 | |
BCBS
| Professional | $25.12 | $25.12 | $25.12 | |
Cigna
| Facility | $27.01 | $27.01 | $27.01 | |
Cigna
| Professional | $10.49 | $27.01 | $27.01 | |
Providence
| Facility | $24.48 | $27.01 | $86.02 | |
Providence
| Professional | $20.27 | $20.27 | $30.14 | |
United
| Professional | $10.38 | $10.91 | $12.49 |