| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.38 | $2.38 | $30.52 | |
BCBS
| Facility | $33.38 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $1.94 | $1.94 | $34.38 | |
Cigna
| Professional | $1.94 | $1.94 | $2.73 | |
Providence
| Facility | $1.94 | $2.73 | $34.38 | |
Providence
| Professional | $1.94 | $2.96 | $3.47 | |
United
| Professional | $2.73 | $2.73 | $2.73 |