| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.01 | $84.52 | $400.00 | |
BCBS
| Facility | $280.67 | $77,999.99 | $94,999.99 | |
BCBS
| Professional | $73.09 | $117.25 | $117.25 | |
Cigna
| Facility | $44.55 | $87.76 | $169.29 | |
Cigna
| Professional | $80.44 | $117.25 | $171.25 | |
Providence
| Facility | $60.14 | $117.25 | $151.16 | |
Providence
| Professional | $79.20 | $135.02 | $203.06 | |
United
| Professional | $80.12 | $80.38 | $135.41 |