| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $518.57 | $518.57 | $518.57 | |
Aetna
| Professional | $73.81 | $412.74 | $412.74 | |
BCBS
| Facility | $86.01 | $68,099.99 | $94,999.99 | |
Cigna
| Facility | $93.08 | $125.17 | $189.68 | |
Cigna
| Professional | $27.22 | $91.89 | $93.08 | |
Providence
| Facility | $93.08 | $125.17 | $189.68 | |
Providence
| Professional | $57.77 | $57.77 | $93.08 | |
United
| Professional | $22.64 | $26.96 | $64.19 |