| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.35 | $61.35 | $61.35 | |
Aetna
| Professional | $8.61 | $15.24 | $85.20 | |
BCBS
| Facility | $17.76 | $17.76 | $91,999.99 | |
BCBS
| Professional | $17.76 | $17.76 | $17.76 | |
Cigna
| Facility | $19.21 | $25.84 | $39.15 | |
Cigna
| Professional | $8.17 | $19.10 | $19.21 | |
Providence
| Facility | $17.43 | $22.53 | $39.15 | |
Providence
| Professional | $11.93 | $11.99 | $19.21 | |
United
| Professional | $5.57 | $5.57 | $16.48 |