| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $120.41 | $201.19 | $1,085.58 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
BCBS
| Professional | $170.28 | $200.33 | $322.32 | |
Cigna
| Facility | $200.33 | $200.33 | $200.33 | |
Cigna
| Professional | $170.28 | $208.36 | $328.83 | |
Providence
| Facility | $113.00 | $196.84 | $319.80 | |
Providence
| Professional | $169.57 | $240.64 | $383.93 | |
United
| Professional | $285.35 | $334.66 | $365.71 |