| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.23 | $66.23 | $66.23 | |
Aetna
| Professional | $26.30 | $32.76 | $52.05 | |
BCBS
| Facility | $68,099.99 | $68,099.99 | $81,499.99 | |
Cigna
| Facility | $42.59 | $42.59 | $49.95 | |
Cigna
| Professional | $28.57 | $42.59 | $49.95 | |
Providence
| Facility | $23.93 | $36.21 | $51.87 | |
Providence
| Professional | $32.95 | $51.03 | $78.84 | |
United
| Professional | $41.18 | $49.71 | $58.88 |