| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $207.58 | $207.58 | $207.58 | |
Aetna
| Professional | $154.01 | $164.60 | $250.00 | |
BCBS
| Facility | $64,999.99 | $81,499.99 | $94,999.99 | |
Cigna
| Professional | $175.41 | $175.41 | $175.41 | |
Providence
| Professional | $175.41 | $175.41 | $181.02 | |
United
| Professional | $177.07 | $177.07 | $188.04 |