| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.10 | $203.30 | $367.65 | |
Aetna
| Professional | $16.55 | $16.96 | $110.21 | |
BCBS
| Facility | $22.97 | $68,099.99 | $94,999.99 | |
BCBS
| Professional | $22.97 | $22.97 | $22.97 | |
Cigna
| Facility | $24.85 | $33.42 | $50.65 | |
Cigna
| Professional | $9.52 | $24.78 | $30.87 | |
Providence
| Facility | $24.85 | $33.42 | $50.65 | |
Providence
| Professional | $15.43 | $17.14 | $24.85 | |
United
| Professional | $7.20 | $7.20 | $19.95 |