| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $612.13 | $612.13 | $612.13 | |
Aetna
| Professional | $307.52 | $577.53 | $1,057.45 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
BCBS
| Professional | $496.36 | $496.36 | $1,010.59 | |
Cigna
| Facility | $496.36 | $496.36 | $496.36 | |
Cigna
| Professional | $421.91 | $573.29 | $1,014.43 | |
Providence
| Facility | $280.89 | $563.51 | $1,036.09 | |
Providence
| Professional | $421.91 | $612.91 | $1,199.75 | |
United
| Professional | $924.51 | $1,041.94 | $1,119.28 |