| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $122.09 | $245.75 | $921.52 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
BCBS
| Professional | $219.26 | $219.26 | $496.88 | |
Cigna
| Facility | $219.26 | $219.26 | $219.26 | |
Cigna
| Professional | $136.22 | $282.95 | $602.26 | |
Providence
| Facility | $129.88 | $244.69 | $460.46 | |
Providence
| Professional | $186.53 | $367.93 | $799.47 | |
United
| Professional | $364.24 | $444.67 | $605.58 |