| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $203.15 | $280.16 | $977.50 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
BCBS
| Professional | $317.77 | $373.84 | $533.69 | |
Cigna
| Facility | $373.84 | $373.84 | $373.84 | |
Cigna
| Professional | $317.76 | $400.42 | $556.97 | |
Providence
| Facility | $210.04 | $326.98 | $554.45 | |
Providence
| Professional | $317.76 | $440.22 | $635.72 | |
United
| Professional | $494.75 | $559.69 | $611.61 |