| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $288.24 | $288.24 | $288.24 | |
Aetna
| Professional | $93.00 | $102.50 | $430.00 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
BCBS
| Professional | $188.59 | $188.59 | $188.59 | |
Cigna
| Facility | $106.63 | $202.78 | $202.78 | |
Cigna
| Professional | $106.63 | $164.89 | $202.78 | |
Providence
| Facility | $95.14 | $193.12 | $202.78 | |
Providence
| Professional | $106.63 | $152.19 | $202.92 | |
United
| Professional | $76.95 | $85.13 | $97.45 |