| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $111.95 | $178.59 | $336.85 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
BCBS
| Professional | $163.58 | $192.44 | $306.02 | |
Cigna
| Facility | $192.44 | $192.44 | $192.44 | |
Cigna
| Professional | $163.57 | $214.18 | $313.12 | |
Providence
| Facility | $108.17 | $187.48 | $319.14 | |
Providence
| Professional | $162.69 | $231.68 | $364.08 | |
United
| Professional | $284.79 | $321.55 | $345.42 |