| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $98.28 | $153.36 | $274.95 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
BCBS
| Professional | $140.78 | $165.63 | $263.95 | |
Cigna
| Facility | $165.63 | $165.63 | $165.63 | |
Cigna
| Professional | $140.79 | $184.49 | $268.30 | |
Providence
| Facility | $92.73 | $161.94 | $273.00 | |
Providence
| Professional | $138.86 | $200.32 | $314.39 | |
United
| Professional | $241.81 | $273.01 | $294.72 |