| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.00 | $38.00 | $38.00 | |
Aetna
| Professional | $1.35 | $1.55 | $8.96 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $1.37 | $1.37 | $5.25 | |
Cigna
| Professional | $1.35 | $1.37 | $1.37 | |
Providence
| Facility | $1.35 | $1.37 | $6.86 | |
Providence
| Professional | $1.37 | $1.46 | $1.71 | |
United
| Professional | $1.35 | $1.35 | $1.35 |