| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $270.32 | $270.32 | $270.32 | |
Aetna
| Professional | $127.00 | $294.22 | $1,206.00 | |
BCBS
| Professional | $330.29 | $440.38 | $524.72 | |
Cigna
| Facility | $336.03 | $336.03 | $336.03 | |
Cigna
| Professional | $245.30 | $245.30 | $673.76 | |
Molina
| Professional | $441.02 | $551.28 | $826.92 | |
Providence
| Facility | $157.77 | $157.77 | $414.30 | |
Providence
| Professional | $245.30 | $336.03 | $642.24 | |
United
| Professional | $221.91 | $244.39 | $368.14 |