| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.60 | $57.60 | $276.66 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
BCBS
| Professional | $93.65 | $93.65 | $93.65 | |
Cigna
| Facility | $59.92 | $100.70 | $100.70 | |
Cigna
| Professional | $59.92 | $100.70 | $100.70 | |
Providence
| Facility | $24.50 | $95.90 | $100.70 | |
Providence
| Professional | $75.56 | $77.25 | $100.82 | |
United
| Professional | $43.24 | $47.84 | $54.76 |