| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $99.97 | $241.43 | $764.43 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $147.22 | $147.22 | $147.22 | |
Cigna
| Professional | $117.90 | $190.07 | $387.02 | |
Providence
| Facility | $90.74 | $144.12 | $230.59 | |
Providence
| Professional | $135.88 | $226.53 | $381.38 | |
United
| Professional | $198.89 | $237.80 | $287.01 |