| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.76 | $2.27 | $884.64 | |
Aetna
| Professional | $1.10 | $2.94 | $2.94 | |
BCBS
| Facility | $15.00 | $55.00 | $89.63 | |
Cigna
| Professional | $10.81 | $10.81 | $10.81 | |
Molina
| Professional | $10.18 | $60.00 | $1,500.00 | |
Providence
| Professional | $10.81 | $10.81 | $10.81 |