| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $113.51 | $144.03 | $268.39 | |
BCBS
| Facility | $64,999.99 | $77,999.99 | $94,999.99 | |
BCBS
| Professional | $195.60 | $195.60 | $265.00 | |
Cigna
| Facility | $195.60 | $195.60 | $195.60 | |
Cigna
| Professional | $166.26 | $219.41 | $294.49 | |
Providence
| Facility | $109.82 | $162.50 | $288.08 | |
Providence
| Professional | $157.04 | $225.25 | $316.29 | |
United
| Professional | $253.45 | $289.57 | $315.64 |