| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.08 | $73.12 | $217.90 | |
Aetna
| Professional | $10.85 | $12.22 | $75.00 | |
BCBS
| Facility | $22.53 | $22.53 | $81,499.99 | |
BCBS
| Professional | $22.53 | $22.53 | $22.53 | |
Cigna
| Facility | $25.22 | $49.67 | $95.82 | |
Cigna
| Professional | $8.17 | $19.41 | $24.26 | |
Providence
| Facility | $17.43 | $32.78 | $49.67 | |
Providence
| Professional | $15.13 | $15.13 | $21.01 | |
United
| Professional | $6.86 | $7.06 | $16.80 |