| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.34 | $217.01 | $451.01 | |
Aetna
| Professional | $43.62 | $73.28 | $194.38 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
BCBS
| Professional | $87.28 | $87.28 | $107.26 | |
Cigna
| Facility | $87.28 | $87.28 | $87.28 | |
Cigna
| Professional | $74.19 | $87.30 | $108.83 | |
Providence
| Facility | $49.72 | $66.27 | $132.60 | |
Providence
| Professional | $64.38 | $88.52 | $126.39 | |
United
| Professional | $99.91 | $109.16 | $130.56 |