| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $194.84 | $206.50 | $389.51 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
BCBS
| Professional | $219.78 | $219.78 | $219.78 | |
Cigna
| Facility | $219.78 | $219.78 | $219.78 | |
Cigna
| Professional | $185.12 | $219.78 | $362.59 | |
Providence
| Facility | $108.52 | $149.22 | $331.16 | |
Providence
| Professional | $134.25 | $219.78 | $306.27 | |
United
| Professional | $214.71 | $248.39 | $372.25 |