| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.65 | $105.31 | $386.35 | |
BCBS
| Facility | $68,099.99 | $68,099.99 | $81,499.99 | |
BCBS
| Professional | $114.10 | $114.10 | $171.94 | |
Cigna
| Facility | $96.99 | $114.10 | $171.94 | |
Cigna
| Professional | $74.75 | $126.29 | $183.48 | |
Providence
| Facility | $58.73 | $99.53 | $173.94 | |
Providence
| Professional | $101.88 | $161.28 | $256.16 | |
United
| Professional | $128.52 | $175.28 | $215.97 |