| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $191.91 | $191.91 | $211.11 | |
BCBS
| Facility | $64,999.99 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $184.39 | $184.39 | $184.39 | |
Cigna
| Professional | $184.39 | $188.55 | $188.55 | |
Providence
| Facility | $184.39 | $184.39 | $184.39 | |
Providence
| Professional | $188.55 | $208.22 | $271.58 | |
United
| Professional | $190.24 | $190.24 | $202.02 |