| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.33 | $77.70 | $82.49 | |
Aetna
| Professional | $44.01 | $45.23 | $88.00 | |
BCBS
| Facility | $47.34 | $47.34 | $81,499.99 | |
BCBS
| Professional | $47.34 | $47.34 | $47.34 | |
Cigna
| Professional | $18.37 | $40.60 | $50.75 | |
Providence
| Professional | $33.32 | $42.40 | $55.54 | |
United
| Professional | $14.84 | $18.95 | $45.11 |