| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.39 | $62.39 | $399.64 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
BCBS
| Professional | $98.92 | $98.92 | $98.92 | |
Cigna
| Facility | $67.20 | $106.59 | $106.59 | |
Cigna
| Professional | $67.20 | $106.59 | $106.59 | |
Providence
| Facility | $48.89 | $73.00 | $106.59 | |
Providence
| Professional | $57.37 | $67.20 | $106.59 | |
United
| Professional | $46.84 | $51.83 | $56.14 |