| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,680.51 | $8,680.51 | $8,680.51 | |
Aetna
| Professional | $76.47 | $138.72 | $713.00 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
BCBS
| Professional | $180.11 | $211.90 | $276.57 | |
Cigna
| Facility | $211.90 | $211.90 | $211.90 | |
Cigna
| Professional | $170.47 | $218.83 | $277.02 | |
Providence
| Facility | $119.54 | $168.07 | $293.29 | |
Providence
| Professional | $167.21 | $229.43 | $328.90 | |
United
| Professional | $241.86 | $283.04 | $309.30 |