| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.67 | $18.05 | $25.60 | |
BCBS
| Facility | $64,999.99 | $64,999.99 | $89,999.99 | |
BCBS
| Professional | $31.23 | $34.70 | $35.22 | |
Cigna
| Facility | $34.70 | $35.22 | $35.22 | |
Cigna
| Professional | $19.42 | $29.50 | $35.06 | |
Providence
| Facility | $14.20 | $19.98 | $34.70 | |
Providence
| Professional | $21.67 | $30.71 | $52.31 | |
United
| Professional | $22.70 | $24.54 | $25.07 |