| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.94 | $77.94 | $77.94 | |
Aetna
| Professional | $23.28 | $46.31 | $77.47 | |
BCBS
| Facility | $64,999.99 | $81,499.99 | $94,999.99 | |
BCBS
| Professional | $66.25 | $74.84 | $115.15 | |
Cigna
| Facility | $66.25 | $66.25 | $115.15 | |
Cigna
| Professional | $64.01 | $80.48 | $115.15 | |
Providence
| Facility | $26.70 | $49.16 | $87.53 | |
Providence
| Professional | $59.34 | $68.09 | $115.15 | |
United
| Professional | $93.43 | $109.16 | $133.54 |