| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $126.86 | $231.65 | $461.22 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
BCBS
| Professional | $357.02 | $357.02 | $449.03 | |
Cigna
| Facility | $357.02 | $357.02 | $357.02 | |
Cigna
| Professional | $292.86 | $378.88 | $463.27 | |
Providence
| Facility | $201.28 | $276.87 | $501.19 | |
Providence
| Professional | $268.13 | $381.68 | $533.85 | |
United
| Professional | $412.39 | $469.21 | $512.73 |