| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $210.89 | $294.22 | $1,149.00 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
BCBS
| Professional | $541.39 | $541.39 | $541.39 | |
Cigna
| Facility | $336.03 | $582.10 | $582.10 | |
Cigna
| Professional | $336.03 | $582.10 | $582.10 | |
Providence
| Facility | $273.12 | $554.38 | $582.10 | |
Providence
| Professional | $431.13 | $446.58 | $582.53 | |
United
| Professional | $220.88 | $244.39 | $279.76 |