| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $485.07 | $485.07 | $485.07 | |
Aetna
| Professional | $481.70 | $662.16 | $2,713.54 | |
BCBS
| Professional | $526.82 | $702.42 | $836.94 | |
Cigna
| Facility | $528.74 | $528.74 | $528.74 | |
Cigna
| Professional | $385.98 | $528.74 | $528.74 | |
Molina
| Professional | $703.44 | $879.31 | $1,318.96 | |
Providence
| Facility | $258.31 | $258.31 | $660.81 | |
Providence
| Professional | $385.98 | $528.74 | $1,007.53 | |
United
| Professional | $369.94 | $458.02 | $612.29 |