| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $78.79 | $122.06 | $248.26 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
BCBS
| Professional | $116.65 | $137.22 | $223.47 | |
Cigna
| Facility | $137.22 | $137.22 | $137.22 | |
Cigna
| Professional | $116.65 | $150.74 | $231.05 | |
Providence
| Facility | $76.69 | $137.01 | $231.40 | |
Providence
| Professional | $114.58 | $163.84 | $264.10 | |
United
| Professional | $206.48 | $232.46 | $253.24 |