| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.20 | $52.48 | $2,137.96 | |
Aetna
| Professional | $21.88 | $39.81 | $85.11 | |
BCBS
| Facility | $257.04 | $575.44 | $933.25 | |
BCBS
| Professional | $17.78 | $31.62 | $57.54 | |
Cigna
| Professional | $13.80 | $26.92 | $52.48 | |
Molina
| Professional | $32.36 | $38.02 | $67.61 | |
Providence
| Facility | $17.78 | $44.67 | $85.11 | |
Providence
| Professional | $13.80 | $28.18 | $51.29 | |
United
| Facility | $229.09 | $1,096.48 | $1,412.54 | |
United
| Professional | $11.75 | $42.66 | $81.28 |