| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $356.92 | $356.92 | $356.92 | |
Aetna
| Professional | $6.59 | $8.14 | $14.58 | |
BCBS
| Facility | $64,999.99 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $22.61 | $22.61 | $22.61 | |
Cigna
| Professional | $11.42 | $22.61 | $22.61 | |
Providence
| Facility | $13.40 | $25.93 | $25.93 | |
Providence
| Professional | $13.91 | $20.87 | $30.10 | |
United
| Professional | $8.41 | $9.31 | $15.52 |