| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $777.99 | $777.99 | $777.99 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $813.94 | $813.94 | $813.94 | |
Cigna
| Professional | $813.94 | $813.94 | $813.94 | |
Providence
| Facility | $95.96 | $654.45 | $1,068.09 | |
Providence
| Professional | $81.58 | $174.83 | $1,781.92 | |
United
| Professional | $1,124.06 | $1,353.47 | $1,453.94 |