| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.70 | $208.31 | $528.42 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $168.26 | $168.26 | $168.26 | |
Cigna
| Professional | $107.83 | $168.26 | $387.57 | |
Providence
| Facility | $82.43 | $168.26 | $255.72 | |
Providence
| Professional | $126.13 | $263.02 | $505.37 | |
United
| Professional | $338.14 | $395.91 | $448.09 |