| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $751.56 | $751.56 | $751.56 | |
Aetna
| Professional | $717.57 | $751.56 | $751.56 | |
BCBS
| Facility | $976.75 | $3,403.14 | $5,836.11 | |
Cigna
| Professional | $477.77 | $477.77 | $477.77 | |
Molina
| Professional | $60.00 | $60.00 | $85.00 | |
Providence
| Facility | $717.57 | $751.56 | $977.03 | |
Providence
| Professional | $477.77 | $477.77 | $2,250,000.00 |