| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $318.00 | $318.00 | $318.00 | |
Aetna
| Professional | $318.00 | $321.18 | $403.86 | |
BCBS
| Professional | $281.25 | $375.00 | $784.23 | |
Cigna
| Facility | $318.00 | $318.00 | $318.00 | |
Cigna
| Professional | $318.00 | $318.00 | $318.00 | |
Molina
| Professional | $70.00 | $445.82 | $781.15 | |
Providence
| Facility | $318.00 | $318.00 | $372.58 | |
Providence
| Professional | $318.00 | $318.00 | $463.58 | |
United
| Professional | $318.00 | $318.00 | $318.00 |