| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $758.76 | $758.76 | $1,400.00 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
BCBS
| Professional | $1,233.72 | $1,233.72 | $1,233.72 | |
Cigna
| Facility | $906.54 | $1,326.50 | $1,326.50 | |
Cigna
| Professional | $906.54 | $1,326.50 | $1,326.50 | |
Providence
| Facility | $704.34 | $1,263.33 | $1,326.50 | |
Providence
| Professional | $906.54 | $995.60 | $1,382.78 | |
United
| Professional | $569.64 | $630.26 | $964.47 |