| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $201.65 | $6,222.88 | $6,222.88 | |
Aetna
| Professional | $144.10 | $206.50 | $244.64 | |
BCBS
| Facility | $2,364.73 | $8,188.45 | $12,706.51 | |
BCBS
| Professional | $148.94 | $169.17 | $257.02 | |
Cigna
| Professional | $183.26 | $269.67 | $383.02 | |
Molina
| Professional | $32.34 | $32.34 | $217.77 | |
Providence
| Facility | $133.60 | $280.00 | $340.00 | |
Providence
| Professional | $175.10 | $282.07 | $383.02 | |
United
| Facility | $639.00 | $6,599.00 | $8,422.00 | |
United
| Professional | $189.45 | $270.48 | $393.61 |