| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.50 | $193.10 | $689.16 | |
Aetna
| Professional | $20.32 | $23.14 | $167.63 | |
BCBS
| Facility | $34.93 | $34.93 | $91,999.99 | |
BCBS
| Professional | $34.93 | $34.93 | $34.93 | |
Cigna
| Facility | $37.79 | $50.84 | $77.04 | |
Cigna
| Professional | $13.27 | $37.69 | $37.79 | |
Providence
| Facility | $28.12 | $44.32 | $77.04 | |
Providence
| Professional | $23.46 | $23.46 | $37.79 | |
United
| Professional | $10.95 | $10.95 | $26.60 |