| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $66.64 | $66.64 | $330.00 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
BCBS
| Professional | $111.09 | $111.09 | $111.09 | |
Cigna
| Facility | $88.85 | $119.45 | $119.45 | |
Cigna
| Professional | $88.85 | $97.13 | $119.45 | |
Providence
| Facility | $61.86 | $113.76 | $119.45 | |
Providence
| Professional | $88.85 | $89.64 | $122.25 | |
United
| Professional | $50.03 | $55.35 | $84.70 |