| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.65 | $55.39 | $58.96 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $94.12 | $94.12 | $111.88 | |
Cigna
| Professional | $84.67 | $94.12 | $101.44 | |
Providence
| Facility | $48.71 | $66.42 | $107.24 | |
Providence
| Professional | $58.76 | $94.12 | $133.16 | |
United
| Professional | $87.36 | $97.44 | $110.88 |