| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.75 | $186.27 | $308.80 | |
BCBS
| Facility | $64,999.99 | $81,499.99 | $94,999.99 | |
BCBS
| Professional | $76.77 | $76.77 | $297.08 | |
Cigna
| Facility | $76.77 | $76.77 | $76.77 | |
Cigna
| Professional | $76.77 | $87.30 | $333.49 | |
Providence
| Facility | $37.72 | $76.77 | $177.83 | |
Providence
| Professional | $51.52 | $182.64 | $333.49 | |
United
| Facility | $221.71 | $221.71 | $221.71 | |
United
| Professional | $291.20 | $348.10 | $534.65 |