| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $110.00 | $130.00 | $217.22 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $101.48 | $101.48 | $176.69 | |
Cigna
| Professional | $101.48 | $134.47 | $134.47 | |
Providence
| Facility | $101.48 | $101.48 | $176.69 | |
Providence
| Professional | $60.64 | $93.28 | $137.41 | |
United
| Professional | $135.66 | $135.66 | $144.07 |