| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.60 | $168.57 | $168.57 | |
BCBS
| Facility | $64,999.99 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $35.00 | $47.42 | $47.42 | |
Cigna
| Professional | $35.00 | $47.42 | $47.42 | |
Providence
| Facility | $24.43 | $45.16 | $47.42 | |
Providence
| Professional | $35.00 | $36.36 | $49.16 | |
United
| Professional | $19.76 | $21.86 | $39.29 |