| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.26 | $13.26 | $13.26 | |
BCBS
| Facility | $15.45 | $68,099.99 | $94,999.99 | |
Cigna
| Facility | $16.72 | $16.72 | $16.72 | |
Cigna
| Professional | $13.22 | $16.52 | $16.72 | |
Providence
| Facility | $16.72 | $16.72 | $16.72 | |
Providence
| Professional | $10.38 | $10.38 | $16.72 | |
United
| Professional | $4.84 | $4.84 | $11.53 |