| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.46 | $74.68 | $558.30 | |
Aetna
| Professional | $15.73 | $21.08 | $32.74 | |
BCBS
| Facility | $32.31 | $32.31 | $91,999.99 | |
BCBS
| Professional | $32.31 | $32.31 | $32.31 | |
Cigna
| Facility | $34.96 | $47.01 | $71.25 | |
Cigna
| Professional | $12.42 | $34.96 | $35.11 | |
Providence
| Facility | $26.24 | $40.99 | $71.25 | |
Providence
| Professional | $21.70 | $21.70 | $34.96 | |
United
| Professional | $10.13 | $10.13 | $24.82 |