| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $178.35 | $178.35 | $178.35 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $326.00 | $326.00 | $326.00 | |
Cigna
| Professional | $326.00 | $326.00 | $326.00 | |
Providence
| Facility | $96.22 | $205.57 | $326.00 | |
Providence
| Professional | $109.40 | $308.35 | $395.05 | |
United
| Professional | $253.47 | $298.20 | $656.05 |