| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.88 | $54.24 | $284.68 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
BCBS
| Professional | $80.79 | $80.79 | $80.79 | |
Cigna
| Facility | $57.67 | $87.06 | $87.06 | |
Cigna
| Professional | $57.67 | $87.06 | $87.06 | |
Providence
| Facility | $41.65 | $58.15 | $87.06 | |
Providence
| Professional | $47.47 | $57.67 | $87.06 | |
United
| Professional | $40.72 | $45.05 | $50.68 |