| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $165.21 | $165.21 | $165.21 | |
Aetna
| Professional | $159.40 | $171.41 | $200.14 | |
BCBS
| Professional | $198.17 | $198.17 | $207.29 | |
Cigna
| Professional | $45.05 | $45.05 | $309.56 | |
Molina
| Professional | $50.00 | $85.00 | $1,500.00 | |
Providence
| Facility | $163.43 | $178.48 | $220.63 | |
Providence
| Professional | $45.05 | $45.05 | $2,250,000.00 | |
United
| Professional | $161.71 | $161.71 | $161.71 |