| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.27 | $57.00 | $545.98 | |
Aetna
| Professional | $10.45 | $10.88 | $67.00 | |
BCBS
| Facility | $16.05 | $16.05 | $91,999.99 | |
BCBS
| Professional | $16.05 | $16.05 | $16.05 | |
Cigna
| Facility | $17.37 | $23.36 | $35.40 | |
Cigna
| Professional | $8.17 | $17.04 | $17.37 | |
Providence
| Facility | $17.37 | $20.37 | $35.40 | |
Providence
| Professional | $10.78 | $11.98 | $17.37 | |
United
| Professional | $5.03 | $5.03 | $16.48 |