| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $98.00 | $103.60 | $128.83 | |
Aetna
| Professional | $25.08 | $37.70 | $74.11 | |
Aetna
| Professional | 25 | $37.21 | $37.21 | $51.58 |
BCBS
| Facility | $64,999.99 | $81,499.99 | $94,999.99 | |
BCBS
| Professional | $54.68 | $54.68 | $75.72 | |
Cigna
| Facility | $54.68 | $54.68 | $90.00 | |
Cigna
| Professional | $38.89 | $63.81 | $90.26 | |
Providence
| Facility | $28.70 | $42.26 | $68.45 | |
Providence
| Professional | $36.79 | $50.96 | $75.72 | |
United
| Professional | $57.20 | $63.80 | $81.22 |