| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.44 | $47.96 | $88.42 | |
BCBS
| Facility | $169.41 | $77,999.99 | $94,999.99 | |
BCBS
| Professional | $36.28 | $84.13 | $84.13 | |
Cigna
| Facility | $36.28 | $42.28 | $100.00 | |
Cigna
| Professional | $26.46 | $55.95 | $115.12 | |
Providence
| Facility | $21.86 | $41.92 | $74.23 | |
Providence
| Professional | $32.90 | $63.89 | $134.00 | |
United
| Professional | $70.06 | $85.80 | $100.10 |