| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $146.77 | $168.63 | $251.35 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $255.54 | $255.54 | $303.75 | |
Cigna
| Professional | $217.21 | $255.54 | $627.45 | |
Providence
| Facility | $84.50 | $168.63 | $255.54 | |
Providence
| Professional | $175.34 | $263.02 | $354.54 | |
United
| Professional | $139.40 | $350.03 | $426.63 |