| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.95 | $19.95 | $19.95 | |
Aetna
| Professional | $19.95 | $19.95 | $19.95 | |
BCBS
| Facility | $56,234.13 | $69,183.10 | $81,283.05 | |
Cigna
| Professional | $23.44 | $28.84 | $28.84 | |
Molina
| Professional | $32.36 | $33.11 | $60.26 | |
Providence
| Facility | $19.95 | $19.95 | $50.12 | |
Providence
| Professional | $28.84 | $28.84 | $28.84 |