| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.29 | $39.29 | $39.29 | |
Aetna
| Professional | $16.80 | $32.45 | $156.01 | |
BCBS
| Facility | $56,799.99 | $68,899.99 | $81,099.99 | |
BCBS
| Professional | $32.40 | $43.20 | $51.47 | |
Cigna
| Facility | $36.21 | $36.21 | $36.21 | |
Cigna
| Professional | $26.43 | $36.21 | $43.67 | |
Molina
| Professional | $63.37 | $79.22 | $110.90 | |
Providence
| Facility | $15.68 | $15.68 | $40.65 | |
Providence
| Professional | $26.43 | $36.21 | $63.37 | |
United
| Professional | $22.05 | $24.28 | $38.51 |