| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.17 | $80.77 | $95.03 | |
Aetna
| Professional | $71.76 | $83.73 | $107.68 | |
BCBS
| Facility | $56,799.99 | $68,899.99 | $81,099.99 | |
BCBS
| Professional | $82.21 | $100.63 | $133.87 | |
Cigna
| Professional | $166.22 | $166.22 | $228.22 | |
Providence
| Facility | $50.00 | $93.81 | $104.57 | |
Providence
| Professional | $77.47 | $166.22 | $228.22 | |
United
| Professional | $92.33 | $123.66 | $152.40 |