| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.24 | $114.24 | $114.24 | |
Aetna
| Professional | $77.84 | $134.71 | $462.69 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
BCBS
| Professional | $117.10 | $137.76 | $235.56 | |
Cigna
| Facility | $137.76 | $137.76 | $137.76 | |
Cigna
| Professional | $117.10 | $151.90 | $235.71 | |
Providence
| Facility | $77.01 | $137.52 | $237.25 | |
Providence
| Professional | $115.03 | $164.48 | $279.19 | |
United
| Professional | $214.76 | $239.54 | $264.32 |