| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.35 | $19.35 | $28.00 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $30.51 | $34.58 | $41.70 | |
Cigna
| Professional | $21.40 | $21.40 | $21.40 | |
Providence
| Facility | $30.51 | $34.58 | $41.70 | |
Providence
| Professional | $20.38 | $22.93 | $33.97 | |
United
| Professional | $25.74 | $25.74 | $27.34 |