| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.24 | $32.24 | $1,201.98 | |
Aetna
| Professional | $6.71 | $12.34 | $66.42 | |
BCBS
| Facility | $13.84 | $13.84 | $91,999.99 | |
BCBS
| Professional | $13.84 | $13.84 | $13.84 | |
Cigna
| Facility | $14.98 | $20.14 | $30.53 | |
Cigna
| Professional | $7.14 | $14.97 | $14.98 | |
Providence
| Facility | $14.06 | $17.55 | $30.53 | |
Providence
| Professional | $9.30 | $9.30 | $14.98 | |
United
| Professional | $4.34 | $4.34 | $14.20 |