| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.86 | $0.86 | $0.86 | |
Aetna
| Professional | $0.83 | $0.86 | $2.78 | |
BCBS
| Facility | $56,799.99 | $68,899.99 | $81,099.99 | |
BCBS
| Professional | $0.55 | $0.73 | $0.94 | |
Molina
| Professional | $1.34 | $1.34 | $1.34 | |
Providence
| Facility | $0.64 | $0.86 | $21.44 | |
Providence
| Professional | $0.49 | $0.49 | $0.49 | |
United
| Professional | $0.89 | $1.37 | $2.21 |