| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.48 | $26.92 | $105.87 | |
BCBS
| Facility | $179.39 | $77,999.99 | $94,999.99 | |
BCBS
| Professional | $37.33 | $37.33 | $37.33 | |
Cigna
| Facility | $37.33 | $44.38 | $78.20 | |
Cigna
| Professional | $26.21 | $35.88 | $56.70 | |
Providence
| Facility | $21.47 | $37.33 | $77.42 | |
Providence
| Professional | $23.72 | $37.33 | $58.93 | |
United
| Professional | $36.71 | $42.47 | $48.11 |