| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $176.54 | $183.16 | $183.16 | |
BCBS
| Facility | $64,999.99 | $79,999.99 | $94,999.99 | |
Cigna
| Facility | $187.57 | $187.57 | $187.57 | |
Cigna
| Professional | $187.57 | $187.57 | $201.05 | |
Providence
| Facility | $142.11 | $284.20 | $292.74 | |
Providence
| Professional | $187.57 | $281.02 | $292.74 |