| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.00 | $12.68 | $32.00 | |
BCBS
| Facility | $56,799.99 | $68,899.99 | $81,099.99 | |
Cigna
| Professional | $8.50 | $8.50 | $8.50 | |
Molina
| Professional | $60.00 | $85.00 | $1,500.00 | |
Providence
| Facility | $12.68 | $12.68 | $12.68 | |
Providence
| Professional | $8.50 | $8.50 | $8.50 |