| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $303.80 | $311.13 | $311.13 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Professional | $311.13 | $311.13 | $311.13 | |
Providence
| Professional | $311.13 | $401.44 | $401.44 | |
United
| Professional | $305.02 | $305.02 | $305.02 |