| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.85 | $176.11 | $819.00 | |
BCBS
| Facility | $64,999.99 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $76.23 | $76.23 | $76.23 | |
Cigna
| Professional | $76.23 | $86.72 | $277.02 | |
Providence
| Facility | $37.47 | $76.23 | $162.65 | |
Providence
| Professional | $50.82 | $164.71 | $277.02 | |
United
| Professional | $242.77 | $295.20 | $477.30 |