| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $542.49 | $542.49 | $542.49 | |
Aetna
| Professional | $10.49 | $22.96 | $97.12 | |
BCBS
| Facility | $64,999.99 | $77,999.99 | $94,999.99 | |
BCBS
| Professional | $32.63 | $38.38 | $70.98 | |
Cigna
| Facility | $38.38 | $38.38 | $84.38 | |
Cigna
| Professional | $19.21 | $41.32 | $70.98 | |
Providence
| Facility | $23.43 | $41.60 | $69.30 | |
Providence
| Professional | $23.94 | $46.81 | $85.39 | |
United
| Professional | $42.55 | $47.28 | $77.80 |