| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $226.00 | $226.00 | $226.00 | |
Aetna
| Professional | $36.01 | $50.49 | $75.62 | |
BCBS
| Facility | $291.51 | $77,999.99 | $94,999.99 | |
BCBS
| Professional | $60.47 | $60.47 | $75.72 | |
Cigna
| Facility | $60.47 | $75.72 | $128.65 | |
Cigna
| Professional | $41.82 | $60.47 | $161.13 | |
Providence
| Facility | $35.54 | $47.84 | $104.71 | |
Providence
| Professional | $44.61 | $69.88 | $112.46 | |
United
| Professional | $69.12 | $84.96 | $103.94 |