| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.43 | $479.47 | $2,362.66 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $125.14 | $125.14 | $125.14 | |
Cigna
| Professional | $120.26 | $125.14 | $579.42 | |
Providence
| Facility | $125.14 | $125.14 | $125.14 | |
Providence
| Professional | $82.37 | $356.39 | $710.54 | |
United
| Professional | $606.90 | $740.41 | $1,045.26 |