| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.90 | $103.95 | $393.59 | |
Aetna
| Professional | $19.57 | $31.96 | $97.56 | |
BCBS
| Facility | $24.03 | $24.03 | $91,999.99 | |
BCBS
| Professional | $24.03 | $24.03 | $24.03 | |
Cigna
| Facility | $26.00 | $34.96 | $52.98 | |
Cigna
| Professional | $12.25 | $25.81 | $26.00 | |
Providence
| Facility | $26.00 | $30.48 | $52.98 | |
Providence
| Professional | $16.14 | $16.14 | $26.00 | |
United
| Professional | $7.53 | $7.53 | $24.65 |