| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.28 | $148.47 | $178.76 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
BCBS
| Professional | $84.48 | $84.48 | $84.48 | |
Cigna
| Facility | $147.10 | $147.10 | $147.10 | |
Cigna
| Professional | $35.88 | $125.04 | $147.10 | |
Providence
| Facility | $25.98 | $46.47 | $167.31 | |
Providence
| Professional | $21.36 | $29.34 | $147.10 | |
United
| Professional | $11.78 | $11.78 | $19.64 |