| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $128.46 | $287.70 | $761.64 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $222.94 | $222.94 | $222.94 | |
Cigna
| Professional | $123.89 | $245.60 | $490.57 | |
Providence
| Facility | $110.12 | $222.94 | $459.10 | |
Providence
| Professional | $189.50 | $313.47 | $610.47 | |
United
| Professional | $411.71 | $488.94 | $555.20 |