| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.13 | $61.11 | $71.89 | |
Aetna
| Professional | $54.32 | $63.60 | $81.06 | |
BCBS
| Facility | $56,799.99 | $68,899.99 | $81,099.99 | |
BCBS
| Professional | $61.78 | $72.41 | $92.48 | |
Cigna
| Professional | $126.66 | $126.66 | $176.40 | |
Providence
| Facility | $42.00 | $70.59 | $78.28 | |
Providence
| Professional | $58.43 | $126.66 | $176.40 | |
United
| Professional | $69.13 | $92.40 | $115.80 |