| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.57 | $32.99 | $53.31 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $42.20 | $54.16 | $57.67 | |
Cigna
| Professional | $33.71 | $33.71 | $54.16 | |
Providence
| Facility | $42.20 | $54.16 | $57.67 | |
Providence
| Professional | $30.49 | $36.11 | $59.74 | |
United
| Professional | $38.61 | $38.61 | $41.00 |