| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.42 | $32.86 | $123.28 | |
BCBS
| Facility | $216.75 | $77,999.99 | $94,999.99 | |
BCBS
| Professional | $45.74 | $45.74 | $45.74 | |
Cigna
| Facility | $45.74 | $54.38 | $97.52 | |
Cigna
| Professional | $31.80 | $45.74 | $71.02 | |
Providence
| Facility | $26.12 | $45.74 | $96.54 | |
Providence
| Professional | $29.52 | $45.74 | $72.20 | |
United
| Professional | $43.61 | $52.80 | $72.98 |