| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $218.24 | $7,838.38 | $7,838.38 | |
Aetna
| Professional | $202.04 | $262.93 | $1,376.18 | |
BCBS
| Professional | $126.05 | $126.05 | $151.26 | |
Cigna
| Professional | $195.80 | $372.66 | $378.27 | |
Molina
| Professional | $30.89 | $108.14 | $218.88 | |
Providence
| Facility | $268.33 | $268.33 | $268.33 | |
Providence
| Professional | $248.44 | $372.66 | $378.27 | |
United
| Facility | $3,085.00 | $4,262.00 | $17,636.00 | |
United
| Professional | $191.55 | $291.42 | $436.60 |