| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $333.12 | $870.42 | $1,417.79 | |
Aetna
| Professional | $72.70 | $494.75 | $1,831.50 | |
BCBS
| Facility | $64,999.99 | $81,499.99 | $94,999.99 | |
BCBS
| Professional | $118.83 | $118.83 | $590.47 | |
Cigna
| Facility | $118.83 | $118.83 | $118.83 | |
Cigna
| Professional | $118.83 | $132.69 | $866.02 | |
Providence
| Facility | $58.91 | $118.83 | $351.49 | |
Providence
| Professional | $78.86 | $364.92 | $729.41 | |
United
| Professional | $707.20 | $861.31 | $1,072.99 |