| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.10 | $42.30 | $112.29 | |
Aetna
| Professional | $3.89 | $3.89 | $23.00 | |
BCBS
| Facility | $5.67 | $5.67 | $91,999.99 | |
BCBS
| Professional | $5.67 | $5.67 | $5.67 | |
Cigna
| Facility | $6.13 | $8.25 | $12.50 | |
Cigna
| Professional | $2.21 | $6.13 | $6.20 | |
Providence
| Facility | $6.13 | $8.25 | $12.50 | |
Providence
| Professional | $3.81 | $3.81 | $6.13 | |
United
| Professional | $2.54 | $2.54 | $4.48 |