| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $127.61 | $147.71 | $173.77 | |
Aetna
| Professional | $131.94 | $152.62 | $198.30 | |
BCBS
| Facility | $56,799.99 | $68,899.99 | $81,099.99 | |
BCBS
| Professional | $150.26 | $177.89 | $227.18 | |
Cigna
| Professional | $309.10 | $309.10 | $395.80 | |
Providence
| Facility | $60.00 | $136.55 | $184.82 | |
Providence
| Professional | $141.83 | $309.10 | $395.80 | |
United
| Professional | $161.91 | $224.28 | $282.61 |