| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.50 | $94.08 | $2,025.00 | |
BCBS
| Facility | $3,200.00 | $64,999.99 | $68,099.99 | |
Cigna
| Facility | $143.54 | $143.54 | $143.54 | |
Cigna
| Professional | $75.06 | $110.22 | $250.07 | |
Providence
| Facility | $81.16 | $103.93 | $144.84 | |
Providence
| Professional | $83.19 | $124.20 | $146.12 | |
United
| Professional | $106.22 | $128.81 | $151.41 |