| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $316.23 | $489.78 | $851.14 | |
Aetna
| Professional | $177.83 | $239.88 | $575.44 | |
BCBS
| Facility | $56,234.13 | $69,183.10 | $81,283.05 | |
BCBS
| Professional | $162.18 | $213.80 | $245.47 | |
Cigna
| Facility | $169.82 | $169.82 | $169.82 | |
Cigna
| Professional | $234.42 | $302.00 | $416.87 | |
Molina
| Professional | $407.38 | $407.38 | $562.34 | |
Providence
| Facility | $177.83 | $338.84 | $776.25 | |
Providence
| Professional | $208.93 | $323.59 | $416.87 | |
United
| Facility | $234.42 | $234.42 | $234.42 | |
United
| Professional | $109.65 | $123.03 | $158.49 |