| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $124.62 | $148.62 | $231.09 | |
Aetna
| Professional | $10.84 | $11.67 | $64.00 | |
BCBS
| Facility | $18.64 | $18.64 | $91,999.99 | |
BCBS
| Professional | $18.64 | $18.64 | $18.64 | |
Cigna
| Facility | $20.87 | $41.10 | $79.29 | |
Cigna
| Professional | $8.17 | $16.11 | $20.13 | |
Providence
| Facility | $17.43 | $27.12 | $41.10 | |
Providence
| Professional | $12.52 | $12.52 | $17.32 | |
United
| Professional | $5.84 | $6.85 | $23.82 |