| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $118.75 | $210.20 | $255.70 | |
Aetna
| Professional | $10.85 | $13.67 | $122.00 | |
BCBS
| Facility | $18.93 | $18.93 | $68,999.99 | |
BCBS
| Professional | $18.93 | $18.93 | $18.93 | |
Cigna
| Facility | $21.20 | $41.75 | $80.54 | |
Cigna
| Professional | $8.17 | $16.52 | $20.65 | |
Providence
| Facility | $17.43 | $27.55 | $41.75 | |
Providence
| Professional | $12.72 | $12.72 | $17.66 | |
United
| Professional | $5.93 | $5.93 | $24.19 |