| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $157.08 | $157.08 | $157.08 | |
Aetna
| Professional | $86.33 | $156.11 | $484.64 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
BCBS
| Professional | $198.44 | $233.46 | $307.07 | |
Cigna
| Facility | $233.46 | $233.46 | $233.46 | |
Cigna
| Professional | $190.49 | $242.11 | $309.04 | |
Providence
| Facility | $131.37 | $187.77 | $324.47 | |
Providence
| Professional | $185.22 | $256.02 | $365.33 | |
United
| Professional | $272.01 | $314.95 | $344.16 |