| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.22 | $45.22 | $49.75 | |
BCBS
| Facility | $60.68 | $60.68 | $91,999.99 | |
BCBS
| Professional | $60.68 | $60.68 | $60.68 | |
Cigna
| Professional | $23.48 | $52.04 | $65.05 | |
Providence
| Professional | $40.75 | $40.75 | $56.60 | |
United
| Professional | $27.14 | $27.14 | $45.23 |