| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.57 | $20.57 | $104.02 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
BCBS
| Professional | $37.86 | $37.86 | $37.86 | |
Cigna
| Facility | $24.80 | $40.72 | $40.72 | |
Cigna
| Professional | $24.80 | $33.11 | $40.72 | |
Providence
| Facility | $24.80 | $38.78 | $40.72 | |
Providence
| Professional | $24.80 | $30.56 | $40.75 | |
United
| Professional | $15.45 | $17.09 | $19.57 |