| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.39 | $35.61 | $186.86 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
BCBS
| Professional | $53.07 | $53.07 | $53.07 | |
Cigna
| Facility | $38.15 | $57.18 | $57.18 | |
Cigna
| Professional | $38.15 | $57.18 | $57.18 | |
Providence
| Facility | $27.36 | $38.19 | $57.18 | |
Providence
| Professional | $31.18 | $38.15 | $57.18 | |
United
| Professional | $26.74 | $29.59 | $45.27 |