| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.67 | $65.67 | $90.00 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $116.20 | $116.20 | $116.20 | |
Cigna
| Professional | $72.25 | $72.25 | $116.20 | |
Providence
| Facility | $116.20 | $116.20 | $116.20 | |
Providence
| Professional | $66.23 | $77.41 | $129.53 | |
United
| Professional | $82.94 | $82.94 | $88.08 |