| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $135.46 | $991.87 | $991.87 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
BCBS
| Professional | $347.70 | $347.70 | $347.70 | |
Cigna
| Facility | $212.98 | $373.84 | $373.84 | |
Cigna
| Professional | $212.98 | $373.84 | $373.84 | |
Providence
| Facility | $175.42 | $356.04 | $373.84 | |
Providence
| Professional | $212.98 | $280.58 | $374.12 | |
United
| Professional | $141.87 | $156.97 | $240.21 |