| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.48 | $7.12 | $7.12 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $4.82 | $4.82 | $4.82 | |
Cigna
| Professional | $4.82 | $4.82 | $4.82 | |
Providence
| Facility | $0.28 | $4.82 | $6.64 | |
Providence
| Professional | $4.82 | $4.82 | $4.82 | |
United
| Professional | $0.02 | $0.02 | $0.02 |