| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $720.17 | $720.17 | $746.84 | |
Aetna
| Professional | $531.89 | $531.89 | $737.93 | |
BCBS
| Facility | $976.75 | $3,403.14 | $5,836.11 | |
Molina
| Professional | $60.00 | $60.00 | $85.00 | |
Providence
| Facility | $73.70 | $531.89 | $737.93 | |
Providence
| Professional | $2,250,000.00 | $2,250,000.00 | $2,400,000.00 |