| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.30 | $18.30 | $18.30 | |
Aetna
| Professional | $0.17 | $0.17 | $0.89 | |
BCBS
| Facility | $0.21 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $0.19 | $0.21 | $0.69 | |
Cigna
| Professional | $0.17 | $0.21 | $0.21 | |
Providence
| Facility | $0.17 | $0.21 | $0.69 | |
Providence
| Professional | $0.18 | $0.18 | $0.23 | |
United
| Professional | $0.17 | $0.17 | $0.17 |