| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.59 | $206.15 | $367.23 | |
Aetna
| Professional | $51.79 | $52.57 | $464.18 | |
BCBS
| Facility | $96.73 | $96.73 | $91,999.99 | |
BCBS
| Professional | $96.73 | $96.73 | $96.73 | |
Cigna
| Facility | $104.68 | $140.77 | $213.32 | |
Cigna
| Professional | $34.02 | $103.77 | $104.68 | |
Providence
| Facility | $104.68 | $140.77 | $213.32 | |
Providence
| Professional | $64.97 | $64.97 | $104.68 | |
United
| Professional | $30.32 | $30.32 | $72.19 |