| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.83 | $68.97 | $419.67 | |
Aetna
| Professional | $8.10 | $8.56 | $12.41 | |
BCBS
| Facility | $12.65 | $12.65 | $91,999.99 | |
BCBS
| Professional | $12.65 | $12.65 | $12.65 | |
Cigna
| Facility | $13.69 | $18.41 | $27.90 | |
Cigna
| Professional | $6.46 | $13.42 | $13.69 | |
Providence
| Facility | $13.69 | $16.05 | $27.90 | |
Providence
| Professional | $8.50 | $9.44 | $13.69 | |
United
| Professional | $3.96 | $3.96 | $12.97 |