| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.22 | $2,145.78 | $7,838.38 | |
Aetna
| Professional | $48.45 | $70.23 | $136.38 | |
BCBS
| Facility | $498.84 | $1,829.15 | $2,980.57 | |
BCBS
| Professional | $38.29 | $74.08 | $120.45 | |
Cigna
| Professional | $52.56 | $81.90 | $125.29 | |
Molina
| Professional | $13.45 | $67.28 | $121.19 | |
Providence
| Facility | $51.50 | $81.34 | $125.35 | |
Providence
| Professional | $61.09 | $93.48 | $144.54 | |
United
| Facility | $230.00 | $1,158.00 | $1,401.00 | |
United
| Professional | $87.73 | $114.17 | $144.30 |