| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.51 | $26.77 | $36.20 | |
BCBS
| Facility | $65.38 | $68,999.99 | $94,999.99 | |
Cigna
| Facility | $37.76 | $37.76 | $37.76 | |
Cigna
| Professional | $26.51 | $26.51 | $37.76 | |
Providence
| Facility | $26.51 | $32.08 | $48.31 | |
Providence
| Professional | $28.76 | $45.98 | $54.35 | |
United
| Professional | $26.51 | $26.51 | $26.51 |