| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $380.16 | $380.16 | $411.84 | |
Aetna
| Professional | $316.80 | $351.65 | $481.54 | |
BCBS
| Facility | $6,110.44 | $12,091.13 | $19,343.00 | |
BCBS
| Professional | $194.40 | $194.40 | $194.40 | |
Moda Health
| Facility | $316.80 | $316.80 | $671.62 | |
Oscar Health
| Professional | $370.10 | $370.10 | $370.10 | |
Providence
| Facility | $342.14 | $342.14 | $342.14 | |
United
| Professional | $276.74 | $276.74 | $276.74 | |
Wellpoint
| Professional | $168.18 | $168.18 | $227.04 |