| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.65 | $90.75 | $166.25 | |
Aetna
| Professional | $18.78 | $24.08 | $47.29 | |
BCBS
| Facility | $32.27 | $32.27 | $68,999.99 | |
BCBS
| Professional | $32.27 | $32.27 | $32.27 | |
Cigna
| Facility | $36.11 | $71.16 | $137.26 | |
Cigna
| Professional | $16.50 | $27.67 | $34.59 | |
Providence
| Facility | $36.11 | $71.16 | $137.26 | |
Providence
| Professional | $21.67 | $21.67 | $30.10 | |
United
| Professional | $10.11 | $10.11 | $24.08 |