| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.05 | $0.05 | $0.05 | |
BCBS
| Facility | $64,999.99 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $0.05 | $0.05 | $0.05 | |
Cigna
| Professional | $0.05 | $0.05 | $0.05 | |
Providence
| Facility | $0.04 | $0.04 | $0.05 | |
Providence
| Professional | $0.05 | $0.05 | $0.05 | |
United
| Professional | $0.02 | $0.02 | $0.02 |