| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,891.79 | $8,891.79 | $8,891.79 | |
Aetna
| Professional | $101.63 | $185.06 | $926.00 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
BCBS
| Professional | $241.34 | $283.93 | $361.75 | |
Cigna
| Facility | $283.93 | $283.93 | $283.93 | |
Cigna
| Professional | $231.76 | $296.82 | $368.41 | |
Providence
| Facility | $159.72 | $222.31 | $395.75 | |
Providence
| Professional | $217.07 | $304.95 | $430.73 | |
United
| Professional | $326.52 | $380.55 | $414.58 |