| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $345.91 | $345.91 | $599.25 | |
Aetna
| Professional | $314.18 | $314.18 | $348.57 | |
BCBS
| Facility | $976.75 | $3,403.14 | $5,836.11 | |
Cigna
| Professional | $52.02 | $52.02 | $52.02 | |
Molina
| Professional | $60.00 | $60.00 | $85.00 | |
Providence
| Facility | $314.18 | $348.57 | $433.26 | |
Providence
| Professional | $52.02 | $52.02 | $2,250,000.00 |