| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $380.00 | $409.78 | $420.70 | |
Aetna
| Professional | $33.10 | $34.53 | $89.79 | |
BCBS
| Facility | $64,999.99 | $77,999.99 | $94,999.99 | |
BCBS
| Professional | $74.64 | $74.64 | $87.81 | |
Cigna
| Facility | $134.60 | $134.60 | $160.00 | |
Cigna
| Professional | $27.82 | $81.33 | $134.60 | |
Providence
| Facility | $81.68 | $102.61 | $160.00 | |
Providence
| Professional | $61.69 | $121.91 | $143.43 | |
United
| Professional | $36.50 | $84.81 | $84.81 |