| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,442.38 | $4,440.60 | $8,473.20 | |
Aetna
| Professional | $528.77 | $3,295.07 | $8,043.65 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
BCBS
| Professional | $948.54 | $948.54 | $948.54 | |
Cigna
| Facility | $948.54 | $948.54 | $948.54 | |
Cigna
| Professional | $526.91 | $948.54 | $1,032.47 | |
Providence
| Facility | $469.30 | $645.29 | $948.54 | |
Providence
| Professional | $570.65 | $948.54 | $1,245.30 | |
United
| Professional | $632.41 | $1,013.59 | $1,174.14 |