| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.24 | $53.36 | $77.84 | |
Aetna
| Professional | $20.00 | $26.41 | $47.41 | |
BCBS
| Facility | $40.86 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $28.55 | $35.22 | $39.02 | |
Cigna
| Professional | $22.10 | $22.10 | $35.22 | |
Providence
| Facility | $28.55 | $35.22 | $39.02 | |
Providence
| Professional | $20.68 | $25.18 | $39.61 | |
United
| Professional | $25.26 | $25.26 | $26.82 |