| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $90.67 | $111.43 | $154.57 | |
BCBS
| Facility | $64,999.99 | $64,999.99 | $89,999.99 | |
BCBS
| Professional | $111.08 | $170.89 | $189.29 | |
Cigna
| Facility | $170.89 | $189.29 | $331.37 | |
Cigna
| Professional | $85.00 | $119.00 | $185.37 | |
Providence
| Facility | $99.73 | $122.68 | $189.29 | |
Providence
| Professional | $96.00 | $144.82 | $246.80 | |
United
| Professional | $120.30 | $189.28 | $243.96 |