| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.72 | $54.30 | $143.22 | |
Aetna
| Professional | $10.70 | $10.87 | $69.00 | |
BCBS
| Facility | $16.05 | $16.05 | $91,999.99 | |
BCBS
| Professional | $16.05 | $16.05 | $16.05 | |
Cigna
| Facility | $17.97 | $35.40 | $68.29 | |
Cigna
| Professional | $8.17 | $13.63 | $17.04 | |
Providence
| Facility | $17.43 | $23.36 | $35.40 | |
Providence
| Professional | $10.78 | $10.78 | $14.98 | |
United
| Professional | $5.03 | $5.18 | $16.48 |