| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.60 | $92.87 | $146.78 | |
Aetna
| Professional | $5.01 | $27.00 | $84.00 | |
Aetna
| Professional | 52 | $0.96 | $5.65 | $16.30 |
BCBS
| Facility | $64,999.99 | $77,999.99 | $94,999.99 | |
BCBS
| Professional | $3.15 | $3.15 | $10.52 | |
Cigna
| Facility | $3.15 | $3.15 | $3.15 | |
Cigna
| Professional | $3.15 | $5.76 | $10.52 | |
Providence
| Facility | $1.82 | $6.06 | $12.35 | |
Providence
| Professional | $2.75 | $6.50 | $12.65 | |
United
| Professional | $8.80 | $10.03 | $11.61 |