| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.84 | $83.60 | $227.00 | |
Aetna
| Professional | $12.42 | $12.72 | $43.33 | |
BCBS
| Facility | $16.88 | $16.88 | $82,999.99 | |
BCBS
| Professional | $16.88 | $16.88 | $16.88 | |
Cigna
| Facility | $18.89 | $37.22 | $71.81 | |
Cigna
| Professional | $7.14 | $14.46 | $30.87 | |
Providence
| Facility | $18.89 | $37.22 | $71.81 | |
Providence
| Professional | $11.34 | $11.34 | $15.75 | |
United
| Professional | $5.29 | $5.29 | $14.96 |