| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.92 | $46.92 | $88.35 | |
Aetna
| Professional | $13.26 | $74.14 | $74.14 | |
BCBS
| Facility | $15.45 | $15.45 | $91,999.99 | |
BCBS
| Professional | $15.45 | $15.45 | $15.45 | |
Cigna
| Facility | $16.72 | $22.48 | $34.07 | |
Cigna
| Professional | $8.00 | $16.52 | $16.72 | |
Providence
| Facility | $14.24 | $19.60 | $34.07 | |
Providence
| Professional | $10.38 | $11.53 | $16.72 | |
United
| Professional | $4.84 | $4.98 | $15.84 |