| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.34 | $105.60 | $1,077.95 | |
Aetna
| Professional | $16.05 | $21.68 | $34.82 | |
BCBS
| Facility | $32.28 | $32.28 | $91,999.99 | |
BCBS
| Professional | $32.28 | $32.28 | $32.28 | |
Cigna
| Facility | $34.93 | $46.98 | $71.19 | |
Cigna
| Professional | $12.42 | $34.59 | $34.93 | |
Providence
| Facility | $26.24 | $40.95 | $71.19 | |
Providence
| Professional | $21.68 | $21.68 | $34.93 | |
United
| Professional | $10.11 | $10.11 | $24.82 |