| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.20 | $69.20 | $324.00 | |
Aetna
| Professional | $275.39 | $286.52 | $324.00 | |
BCBS
| Facility | $56,799.99 | $68,899.99 | $81,099.99 | |
Cigna
| Facility | $302.39 | $302.39 | $302.39 | |
Cigna
| Professional | $302.39 | $302.39 | $302.39 | |
Providence
| Facility | $270.00 | $302.39 | $302.39 | |
Providence
| Professional | $302.39 | $302.39 | $302.39 | |
United
| Facility | $0.02 | $0.02 | $0.02 | |
United
| Professional | $279.49 | $296.81 | $324.00 |