| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.66 | $70.79 | $70.79 | |
Aetna
| Professional | $56.23 | $64.57 | $75.86 | |
BCBS
| Facility | $56,234.13 | $69,183.10 | $81,283.05 | |
Molina
| Professional | $50.12 | $60.26 | $1,000.00 | |
Providence
| Facility | $50.12 | $66.07 | $125.89 | |
United
| Professional | $66.07 | $77.62 | $134.90 |