| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.80 | $281.69 | $533.70 | |
Aetna
| Professional | $34.31 | $37.77 | $299.77 | |
BCBS
| Facility | $64.06 | $64.06 | $91,999.99 | |
BCBS
| Professional | $64.06 | $64.06 | $64.06 | |
Cigna
| Facility | $69.31 | $93.23 | $141.28 | |
Cigna
| Professional | $29.77 | $68.66 | $69.31 | |
Providence
| Facility | $44.40 | $81.28 | $141.28 | |
Providence
| Professional | $43.03 | $43.03 | $69.31 | |
United
| Professional | $20.07 | $20.07 | $59.54 |