| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $110.84 | $125.42 | $162.58 | |
BCBS
| Facility | $64,999.99 | $81,499.99 | $94,999.99 | |
BCBS
| Professional | $240.82 | $240.82 | $240.82 | |
Cigna
| Facility | $240.82 | $240.82 | $286.25 | |
Cigna
| Professional | $89.07 | $204.70 | $325.06 | |
Providence
| Facility | $240.82 | $240.82 | $286.25 | |
Providence
| Professional | $124.87 | $181.45 | $325.06 | |
United
| Professional | $118.18 | $217.74 | $242.56 |