| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $456.42 | $791.01 | $1,578.80 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
BCBS
| Professional | $1,053.02 | $1,053.02 | $1,053.02 | |
Cigna
| Facility | $812.83 | $1,134.96 | $1,134.96 | |
Cigna
| Professional | $812.83 | $1,134.96 | $1,134.96 | |
Providence
| Facility | $471.84 | $812.83 | $1,134.96 | |
Providence
| Professional | $635.41 | $812.83 | $1,134.96 | |
United
| Professional | $361.61 | $630.26 | $999.59 |