| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $731.42 | $731.42 | $731.42 | |
Aetna
| Professional | $26.82 | $38.96 | $55.69 | |
BCBS
| Facility | $64,999.99 | $77,999.99 | $94,999.99 | |
BCBS
| Professional | $35.31 | $41.54 | $68.38 | |
Cigna
| Facility | $41.54 | $41.54 | $95.63 | |
Cigna
| Professional | $28.99 | $50.05 | $86.76 | |
Providence
| Facility | $28.11 | $50.13 | $80.20 | |
Providence
| Professional | $28.99 | $51.15 | $95.58 | |
United
| Professional | $40.56 | $52.69 | $52.69 |