| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $201.03 | $1,124.03 | $1,124.03 | |
BCBS
| Facility | $234.25 | $609.04 | $94,999.99 | |
BCBS
| Professional | $234.25 | $234.25 | $234.25 | |
Cigna
| Facility | $253.47 | $297.18 | $996.42 | |
Cigna
| Professional | $253.47 | $253.47 | $253.47 | |
Providence
| Facility | $253.47 | $297.18 | $996.42 | |
Providence
| Professional | $157.33 | $157.33 | $253.47 | |
United
| Professional | $73.42 | $73.42 | $174.81 |