| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.30 | $18.48 | $22.03 | |
BCBS
| Facility | $36.70 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $20.56 | $20.56 | $54.11 | |
Cigna
| Professional | $18.30 | $18.30 | $20.56 | |
Providence
| Facility | $20.56 | $20.56 | $54.11 | |
Providence
| Professional | $18.30 | $19.85 | $25.89 | |
United
| Professional | $18.30 | $18.30 | $18.30 |