| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $183.40 | $218.70 | $218.70 | |
Aetna
| Professional | $53.44 | $162.53 | $717.60 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
BCBS
| Professional | $147.93 | $174.04 | $282.88 | |
Cigna
| Facility | $174.04 | $174.04 | $174.04 | |
Cigna
| Professional | $147.93 | $193.22 | $286.93 | |
Providence
| Facility | $97.58 | $172.67 | $289.25 | |
Providence
| Professional | $146.66 | $209.92 | $337.04 | |
United
| Professional | $262.35 | $290.58 | $320.64 |