| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $84.53 | $113.65 | $236.70 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
BCBS
| Professional | $144.81 | $170.36 | $227.67 | |
Cigna
| Facility | $170.36 | $170.36 | $170.36 | |
Cigna
| Professional | $139.87 | $170.53 | $227.67 | |
Providence
| Facility | $95.79 | $138.03 | $232.40 | |
Providence
| Professional | $138.46 | $185.73 | $271.01 | |
United
| Professional | $190.82 | $234.24 | $251.63 |