| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.53 | $57.53 | $7,430.40 | |
BCBS
| Facility | $181.04 | $77,999.99 | $94,999.99 | |
Cigna
| Professional | $58.93 | $58.93 | $58.93 | |
Providence
| Professional | $58.93 | $75.89 | $75.89 | |
United
| Professional | $57.78 | $57.78 | $57.78 |