| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.24 | $60.24 | $102.51 | |
Aetna
| Professional | $2.65 | $3.68 | $19.50 | |
BCBS
| Facility | $4.25 | $4.25 | $77,999.99 | |
BCBS
| Professional | $4.25 | $4.25 | $4.25 | |
Cigna
| Facility | $4.59 | $6.18 | $9.36 | |
Cigna
| Professional | $2.21 | $4.59 | $4.65 | |
Providence
| Facility | $4.59 | $5.39 | $9.36 | |
Providence
| Professional | $2.85 | $3.17 | $4.59 | |
United
| Professional | $1.90 | $1.90 | $4.34 |