| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.75 | $48.75 | $122.46 | |
BCBS
| Facility | $81,499.99 | $81,499.99 | $81,499.99 | |
Cigna
| Professional | $255.00 | $255.00 | $255.00 | |
Providence
| Facility | $41.44 | $48.75 | $134.71 | |
Providence
| Professional | $255.00 | $255.00 | $255.00 |