| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.82 | $114.82 | $114.82 | |
BCBS
| Facility | $56,234.13 | $69,183.10 | $81,283.05 | |
Cigna
| Professional | $79.43 | $79.43 | $79.43 | |
Molina
| Professional | $25.12 | $60.26 | $85.11 | |
Providence
| Professional | $91.20 | $91.20 | $91.20 |