| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $131.36 | $607.79 | $1,030.01 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
BCBS
| Professional | $201.38 | $201.38 | $982.19 | |
Cigna
| Facility | $201.38 | $201.38 | $201.38 | |
Cigna
| Professional | $147.22 | $596.51 | $1,477.32 | |
Providence
| Facility | $125.31 | $270.61 | $943.17 | |
Providence
| Professional | $181.24 | $638.59 | $1,752.36 | |
United
| Professional | $992.50 | $1,229.59 | $1,531.20 |