| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.00 | $96.30 | $132.05 | |
Aetna
| Professional | $10.46 | $10.88 | $88.86 | |
BCBS
| Facility | $18.52 | $18.52 | $91,999.99 | |
BCBS
| Professional | $18.52 | $18.52 | $18.52 | |
Cigna
| Facility | $20.04 | $26.95 | $40.84 | |
Cigna
| Professional | $8.17 | $20.04 | $20.13 | |
Providence
| Facility | $17.43 | $23.49 | $40.84 | |
Providence
| Professional | $12.44 | $12.44 | $20.04 | |
United
| Professional | $5.80 | $5.80 | $16.48 |