| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.97 | $38.25 | $71.73 | |
Aetna
| Professional | $30.57 | $32.71 | $47.50 | |
BCBS
| Facility | $36.08 | $131.68 | $215.55 | |
BCBS
| Professional | $30.23 | $40.29 | $42.99 | |
Cigna
| Facility | $33.71 | $33.71 | $33.71 | |
Cigna
| Professional | $33.71 | $33.71 | $33.71 | |
Providence
| Facility | $30.10 | $33.71 | $33.71 | |
Providence
| Professional | $33.71 | $33.71 | $33.71 | |
United
| Professional | $35.97 | $35.97 | $41.00 |