| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $141.00 | $141.00 | $141.00 | |
BCBS
| Facility | $56,799.99 | $68,899.99 | $81,099.99 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
Providence
| Facility | $15.96 | $15.96 | $15.96 | |
Providence
| Professional | $19.07 | $19.07 | $19.07 | |
United
| Professional | $9.58 | $10.15 | $14.51 |