| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.15 | $23.15 | $84.75 | |
BCBS
| Facility | $64,999.99 | $81,499.99 | $94,999.99 | |
Cigna
| Professional | $36.36 | $50.59 | $126.00 | |
Providence
| Facility | $2.98 | $2.98 | $23.15 | |
Providence
| Professional | $36.36 | $50.59 | $126.00 |