| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.05 | $83.51 | $114.32 | |
BCBS
| Facility | $64,999.99 | $64,999.99 | $89,999.99 | |
BCBS
| Professional | $76.90 | $118.31 | $135.13 | |
Cigna
| Facility | $118.31 | $135.13 | $255.67 | |
Cigna
| Professional | $63.00 | $91.00 | $132.26 | |
Providence
| Facility | $70.36 | $91.09 | $135.13 | |
Providence
| Professional | $71.44 | $102.61 | $179.11 | |
United
| Professional | $75.00 | $140.56 | $176.79 |