| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.08 | $72.08 | $466.20 | |
Aetna
| Professional | $34.53 | $72.08 | $102.77 | |
BCBS
| Facility | $128.26 | $325.83 | $530.94 | |
BCBS
| Professional | $33.43 | $95.55 | $127.40 | |
Cigna
| Professional | $27.07 | $63.29 | $85.91 | |
Molina
| Professional | $32.34 | $40.97 | $719.00 | |
Providence
| Facility | $17.21 | $43.93 | $130.53 | |
Providence
| Professional | $38.54 | $63.29 | $86.36 | |
United
| Professional | $34.65 | $53.34 | $84.81 |