| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $93.54 | $123.18 | $175.69 | |
BCBS
| Facility | $64,999.99 | $64,999.99 | $89,999.99 | |
BCBS
| Professional | $131.58 | $165.10 | $202.43 | |
Cigna
| Facility | $165.10 | $202.43 | $327.12 | |
Cigna
| Professional | $93.00 | $134.00 | $199.43 | |
Providence
| Facility | $96.70 | $129.97 | $202.43 | |
Providence
| Professional | $99.96 | $140.34 | $248.05 | |
United
| Professional | $130.13 | $211.68 | $272.83 |