| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,479.11 | $1,479.11 | $1,479.11 | |
Aetna
| Professional | $32.36 | $33.88 | $38.90 | |
BCBS
| Facility | $56,234.13 | $69,183.10 | $81,283.05 | |
Cigna
| Professional | $2.04 | $2.04 | $2.04 | |
Molina
| Professional | $20.89 | $20.89 | $31.62 | |
Providence
| Facility | $33.11 | $34.67 | $61.66 | |
Providence
| Professional | $0.68 | $0.68 | $0.68 |