| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.39 | $302.64 | $993.60 | |
BCBS
| Facility | $64,999.99 | $81,499.99 | $94,999.99 | |
BCBS
| Professional | $65.20 | $65.20 | $468.49 | |
Cigna
| Facility | $65.20 | $65.20 | $65.20 | |
Cigna
| Professional | $65.20 | $73.91 | $625.07 | |
Providence
| Facility | $32.04 | $65.20 | $278.12 | |
Providence
| Professional | $43.81 | $291.02 | $579.75 | |
United
| Professional | $576.16 | $686.96 | $852.85 |