| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.29 | $39.29 | $39.29 | |
Aetna
| Professional | $18.44 | $38.35 | $156.01 | |
BCBS
| Facility | $56,799.99 | $68,899.99 | $81,099.99 | |
BCBS
| Professional | $32.40 | $43.20 | $43.56 | |
Cigna
| Facility | $35.60 | $35.60 | $35.60 | |
Cigna
| Professional | $25.99 | $35.59 | $43.67 | |
Molina
| Professional | $42.24 | $52.81 | $79.21 | |
Providence
| Facility | $35.60 | $35.65 | $35.65 | |
Providence
| Professional | $25.99 | $35.60 | $63.37 | |
United
| Professional | $23.52 | $24.28 | $39.20 |