| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.00 | $76.00 | $76.00 | |
Aetna
| Professional | $27.67 | $154.71 | $154.71 | |
BCBS
| Facility | $32.24 | $68,099.99 | $94,999.99 | |
BCBS
| Professional | $32.24 | $32.24 | $32.24 | |
Cigna
| Facility | $34.89 | $46.92 | $71.09 | |
Cigna
| Professional | $12.08 | $34.59 | $34.89 | |
Providence
| Facility | $25.64 | $40.90 | $71.09 | |
Providence
| Professional | $21.65 | $21.65 | $34.89 | |
United
| Professional | $10.09 | $10.11 | $24.25 |