| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,026.00 | $1,026.00 | $1,026.00 | |
Aetna
| Professional | $151.37 | $302.74 | $650.38 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
BCBS
| Professional | $322.24 | $379.10 | $612.55 | |
Cigna
| Facility | $379.10 | $379.10 | $379.10 | |
Cigna
| Professional | $322.24 | $417.29 | $632.63 | |
Providence
| Facility | $214.33 | $374.23 | $601.25 | |
Providence
| Professional | $322.24 | $458.24 | $733.81 | |
United
| Professional | $544.40 | $644.39 | $704.16 |