| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.70 | $82.36 | $117.35 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
BCBS
| Professional | $94.75 | $111.47 | $158.27 | |
Cigna
| Facility | $111.47 | $111.47 | $111.47 | |
Cigna
| Professional | $94.75 | $115.82 | $158.27 | |
Providence
| Facility | $63.29 | $96.97 | $158.60 | |
Providence
| Professional | $94.41 | $128.72 | $188.64 | |
United
| Professional | $141.52 | $158.93 | $174.06 |