| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $105.23 | $176.24 | $874.14 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $156.69 | $156.69 | $156.69 | |
Cigna
| Professional | $113.52 | $156.69 | $258.69 | |
Providence
| Facility | $76.45 | $123.03 | $156.69 | |
Providence
| Professional | $131.44 | $196.63 | $321.06 | |
United
| Professional | $238.17 | $270.86 | $313.50 |