| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.30 | $285.94 | $366.96 | |
Aetna
| Professional | $152.60 | $219.81 | $300.00 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Professional | $241.37 | $241.37 | $241.37 | |
Providence
| Professional | $237.48 | $241.37 | $241.37 | |
United
| Professional | $243.53 | $243.53 | $258.61 |