| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.93 | $143.94 | $213.49 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
BCBS
| Professional | $124.09 | $124.09 | $213.47 | |
Cigna
| Facility | $124.09 | $124.09 | $124.09 | |
Cigna
| Professional | $97.56 | $126.03 | $213.47 | |
Providence
| Facility | $60.46 | $102.12 | $127.65 | |
Providence
| Professional | $105.48 | $163.63 | $284.63 | |
United
| Professional | $217.77 | $247.66 | $283.52 |