| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.42 | $107.53 | $129.74 | |
Aetna
| Professional | $12.54 | $13.05 | $92.46 | |
BCBS
| Facility | $19.27 | $19.27 | $91,999.99 | |
BCBS
| Professional | $19.27 | $19.27 | $19.27 | |
Cigna
| Facility | $21.57 | $42.49 | $81.97 | |
Cigna
| Professional | $9.86 | $16.52 | $20.65 | |
Providence
| Facility | $17.96 | $28.04 | $42.49 | |
Providence
| Professional | $12.94 | $12.94 | $17.32 | |
United
| Professional | $6.04 | $8.22 | $19.77 |