| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.17 | $72.73 | $176.03 | |
Aetna
| Professional | $6.40 | $9.76 | $13.07 | |
BCBS
| Facility | $10.95 | $10.95 | $77,999.99 | |
BCBS
| Professional | $10.95 | $10.95 | $10.95 | |
Cigna
| Facility | $11.85 | $15.93 | $24.14 | |
Cigna
| Professional | $5.61 | $11.85 | $11.87 | |
Providence
| Facility | $11.85 | $13.89 | $24.14 | |
Providence
| Professional | $7.35 | $8.17 | $11.85 | |
United
| Facility | $8.17 | $8.17 | $8.17 | |
United
| Professional | $3.43 | $3.43 | $11.23 |