| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.86 | $80.56 | $95.88 | |
Aetna
| Professional | $71.91 | $83.98 | $109.00 | |
BCBS
| Facility | $56,799.99 | $68,899.99 | $81,099.99 | |
BCBS
| Professional | $75.25 | $81.34 | $109.82 | |
Cigna
| Professional | $171.86 | $171.86 | $218.30 | |
Providence
| Facility | $35.00 | $83.43 | $103.45 | |
Providence
| Professional | $78.00 | $171.86 | $218.30 | |
United
| Professional | $90.96 | $122.10 | $156.60 |