| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $55.84 | $55.84 | $55.84 | |
BCBS
| Facility | $64,999.99 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $84.13 | $84.13 | $100.00 | |
Cigna
| Professional | $71.51 | $84.13 | $84.13 | |
Providence
| Facility | $7.27 | $11.63 | $84.19 | |
Providence
| Professional | $7.35 | $8.72 | $85.52 | |
United
| Professional | $73.89 | $123.79 | $217.40 |