| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.00 | $60.49 | $136.90 | |
Aetna
| Professional | $29.26 | $44.15 | $90.00 | |
Aetna
| Professional | 25 | $42.71 | $55.52 | $67.55 |
BCBS
| Facility | $64,999.99 | $81,499.99 | $94,999.99 | |
BCBS
| Professional | $78.34 | $78.34 | $98.85 | |
Cigna
| Facility | $78.34 | $78.34 | $117.50 | |
Cigna
| Professional | $45.34 | $69.84 | $100.33 | |
Providence
| Facility | $37.79 | $54.64 | $98.48 | |
Providence
| Professional | $48.20 | $69.84 | $99.75 | |
United
| Professional | $60.83 | $69.02 | $95.93 |