| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $111.50 | $165.18 | $295.95 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
BCBS
| Professional | $158.21 | $186.13 | $285.51 | |
Cigna
| Facility | $186.13 | $186.13 | $186.13 | |
Cigna
| Professional | $158.21 | $207.19 | $291.58 | |
Providence
| Facility | $104.59 | $174.87 | $295.75 | |
Providence
| Professional | $157.19 | $216.95 | $339.55 | |
United
| Professional | $263.89 | $291.20 | $325.23 |