| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.88 | $190.01 | $830.00 | |
Aetna
| Professional | $7.91 | $12.33 | $23.17 | |
BCBS
| Facility | $14.15 | $14.15 | $68,999.99 | |
BCBS
| Professional | $14.15 | $14.15 | $14.15 | |
Cigna
| Facility | $15.84 | $31.20 | $60.19 | |
Cigna
| Professional | $7.31 | $12.39 | $15.49 | |
Providence
| Facility | $15.36 | $20.59 | $31.20 | |
Providence
| Professional | $9.50 | $9.50 | $13.20 | |
United
| Professional | $4.44 | $4.55 | $14.53 |