| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.77 | $146.55 | $242.87 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
BCBS
| Professional | $177.72 | $177.72 | $230.30 | |
Cigna
| Facility | $177.72 | $177.72 | $177.72 | |
Cigna
| Professional | $136.56 | $184.49 | $234.55 | |
Providence
| Facility | $111.17 | $236.60 | $261.22 | |
Providence
| Professional | $112.51 | $177.72 | $245.61 | |
United
| Professional | $187.53 | $235.41 | $398.66 |