| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $996.00 | $996.00 | $996.00 | |
Aetna
| Professional | $110.56 | $831.40 | $2,058.48 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
BCBS
| Professional | $155.97 | $183.50 | $183.50 | |
Cigna
| Facility | $183.50 | $183.50 | $183.50 | |
Cigna
| Professional | $125.33 | $579.19 | $2,271.42 | |
Providence
| Facility | $114.31 | $244.77 | $1,683.43 | |
Providence
| Professional | $165.15 | $1,280.41 | $3,216.24 | |
United
| Professional | $1,537.32 | $1,837.55 | $2,412.21 |