| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $99.03 | $117.26 | $187.56 | |
BCBS
| Facility | $64,999.99 | $68,099.99 | $68,099.99 | |
BCBS
| Professional | $190.34 | $190.34 | $190.34 | |
Cigna
| Facility | $190.34 | $190.34 | $190.34 | |
Cigna
| Professional | $118.86 | $164.19 | $326.76 | |
Providence
| Facility | $122.34 | $159.90 | $288.63 | |
Providence
| Professional | $141.52 | $250.47 | $326.85 | |
United
| Professional | $162.84 | $198.24 | $237.19 |