| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $192.63 | $273.87 | $512.80 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
BCBS
| Professional | $303.47 | $357.02 | $498.46 | |
Cigna
| Facility | $357.02 | $357.02 | $357.02 | |
Cigna
| Professional | $303.47 | $384.70 | $526.13 | |
Providence
| Facility | $201.19 | $306.63 | $529.75 | |
Providence
| Professional | $298.32 | $419.98 | $593.59 | |
United
| Professional | $472.69 | $534.54 | $574.22 |