| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.65 | $105.31 | $354.02 | |
BCBS
| Facility | $68,099.99 | $68,099.99 | $81,499.99 | |
BCBS
| Professional | $114.10 | $114.10 | $164.05 | |
Cigna
| Facility | $96.99 | $114.10 | $164.05 | |
Cigna
| Professional | $74.75 | $126.29 | $175.27 | |
Providence
| Facility | $58.73 | $96.65 | $162.55 | |
Providence
| Professional | $99.31 | $157.18 | $247.20 | |
United
| Professional | $134.25 | $168.00 | $207.00 |