| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $525.89 | $525.89 | $525.89 | |
Aetna
| Professional | $456.42 | $791.02 | $2,557.00 | |
BCBS
| Facility | $1,467.94 | $5,258.35 | $8,809.14 | |
BCBS
| Professional | $504.67 | $672.89 | $967.11 | |
Cigna
| Facility | $812.83 | $812.83 | $812.83 | |
Cigna
| Professional | $593.37 | $812.83 | $812.83 | |
Molina
| Professional | $809.89 | $1,012.37 | $1,518.55 | |
Providence
| Facility | $288.18 | $288.18 | $812.83 | |
Providence
| Professional | $577.52 | $812.83 | $1,054.71 | |
United
| Professional | $593.27 | $630.26 | $988.78 |