| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.10 | $47.11 | $88.38 | |
Aetna
| Professional | $25.32 | $34.85 | $59.57 | |
Aetna
| Professional | 25 | $37.21 | $37.21 | $51.58 |
BCBS
| Facility | $56,799.99 | $68,899.99 | $81,099.99 | |
BCBS
| Professional | $20.07 | $35.24 | $61.32 | |
Cigna
| Professional | $31.25 | $46.40 | $68.26 | |
Molina
| Professional | $32.34 | $32.34 | $71.93 | |
Providence
| Facility | $28.12 | $36.15 | $44.13 | |
Providence
| Professional | $28.69 | $43.78 | $68.26 | |
United
| Professional | $45.93 | $57.20 | $77.42 |