| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.46 | $31.08 | $95.29 | |
BCBS
| Facility | $59.10 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $37.11 | $37.11 | $87.81 | |
Cigna
| Professional | $25.46 | $25.46 | $37.11 | |
Providence
| Facility | $37.11 | $37.11 | $87.81 | |
Providence
| Professional | $25.46 | $27.62 | $41.21 | |
United
| Professional | $25.46 | $25.46 | $25.46 |