| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $98.57 | $126.53 | $177.17 | |
BCBS
| Facility | $64,999.99 | $64,999.99 | $89,999.99 | |
BCBS
| Professional | $164.92 | $166.26 | $195.60 | |
Cigna
| Facility | $194.02 | $195.60 | $392.39 | |
Cigna
| Professional | $114.00 | $166.26 | $507.87 | |
Providence
| Facility | $110.99 | $137.97 | $195.60 | |
Providence
| Professional | $119.37 | $170.95 | $293.23 | |
United
| Professional | $110.39 | $214.48 | $280.77 |