| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $596.79 | $596.79 | $1,559.20 | |
BCBS
| Facility | $137.49 | $462.22 | $821.50 | |
Cigna
| Facility | $77.09 | $77.09 | $77.09 | |
Molina
| Professional | $60.00 | $93.35 | $1,500.00 | |
Providence
| Facility | $77.09 | $77.09 | $77.09 |