| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.59 | $47.50 | $94.50 | |
Aetna
| Professional | $4.34 | $6.51 | $35.82 | |
BCBS
| Facility | $7.46 | $7.46 | $91,999.99 | |
BCBS
| Professional | $7.46 | $7.46 | $7.46 | |
Cigna
| Facility | $8.08 | $10.86 | $16.46 | |
Cigna
| Professional | $3.91 | $7.74 | $8.08 | |
Providence
| Facility | $8.08 | $9.47 | $16.46 | |
Providence
| Professional | $5.01 | $5.57 | $8.08 | |
United
| Professional | $2.34 | $2.34 | $7.67 |