| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.00 | $147.11 | $616.00 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
BCBS
| Professional | $270.66 | $270.66 | $270.66 | |
Cigna
| Facility | $135.00 | $291.02 | $291.02 | |
Cigna
| Professional | $135.00 | $236.66 | $291.02 | |
Providence
| Facility | $135.00 | $277.16 | $291.02 | |
Providence
| Professional | $135.00 | $218.42 | $291.23 | |
United
| Professional | $110.44 | $122.20 | $139.88 |