| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $261.02 | $261.02 | $261.02 | |
Aetna
| Professional | $239.07 | $356.31 | $1,411.04 | |
BCBS
| Professional | $283.48 | $377.97 | $450.35 | |
Cigna
| Facility | $306.16 | $306.16 | $306.16 | |
Cigna
| Professional | $223.50 | $306.16 | $306.16 | |
Molina
| Professional | $378.52 | $473.15 | $709.72 | |
Providence
| Facility | $128.19 | $128.19 | $355.57 | |
Providence
| Professional | $223.50 | $306.16 | $544.92 | |
United
| Professional | $183.61 | $227.33 | $303.88 |