| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.32 | $80.02 | $178.32 | |
BCBS
| Facility | $64,999.99 | $81,499.99 | $94,999.99 | |
BCBS
| Professional | $123.04 | $123.04 | $123.04 | |
Cigna
| Facility | $123.04 | $123.04 | $146.25 | |
Cigna
| Professional | $59.05 | $87.88 | $151.04 | |
Providence
| Facility | $61.65 | $80.56 | $128.40 | |
Providence
| Professional | $71.54 | $134.22 | $194.22 | |
United
| Professional | $95.88 | $114.24 | $130.55 |