| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.67 | $32.67 | $160.00 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
BCBS
| Professional | $53.14 | $53.14 | $53.14 | |
Cigna
| Facility | $36.61 | $57.14 | $57.14 | |
Cigna
| Professional | $36.61 | $46.47 | $57.14 | |
Providence
| Facility | $31.16 | $54.42 | $57.14 | |
Providence
| Professional | $36.61 | $42.89 | $62.58 | |
United
| Professional | $24.53 | $27.15 | $41.54 |