| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.24 | $62.82 | $62.82 | |
BCBS
| Facility | $13.09 | $68,099.99 | $94,999.99 | |
Cigna
| Facility | $14.17 | $19.05 | $28.87 | |
Cigna
| Professional | $5.95 | $13.94 | $14.17 | |
Providence
| Facility | $12.69 | $16.61 | $28.87 | |
Providence
| Professional | $8.78 | $8.78 | $14.17 | |
United
| Professional | $4.09 | $4.09 | $9.77 |