| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $124.85 | $211.06 | $787.19 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
BCBS
| Professional | $199.78 | $235.03 | $363.33 | |
Cigna
| Facility | $235.03 | $235.03 | $235.03 | |
Cigna
| Professional | $199.78 | $250.26 | $377.72 | |
Providence
| Facility | $132.91 | $222.68 | $372.45 | |
Providence
| Professional | $199.78 | $275.80 | $433.87 | |
United
| Professional | $332.34 | $386.46 | $415.14 |