| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.82 | $14.82 | $14.82 | |
Aetna
| Professional | $14.82 | $14.82 | $16.26 | |
BCBS
| Facility | $56,799.99 | $68,899.99 | $81,099.99 | |
Cigna
| Professional | $4.38 | $4.38 | $11.91 | |
Molina
| Professional | $20.90 | $20.90 | $31.35 | |
Providence
| Facility | $14.82 | $14.82 | $34.54 | |
Providence
| Professional | $4.38 | $4.38 | $20.00 | |
United
| Professional | $5.29 | $5.63 | $9.38 |