| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.39 | $275.39 | $275.39 | |
Aetna
| Professional | $275.39 | $275.39 | $396.37 | |
Ambetter
| Professional | $123.96 | $207.29 | $825.00 | |
BCBS
| Professional | $315.82 | $315.82 | $315.82 | |
Molina
| Professional | $42.50 | $50.00 | $80.00 | |
United
| Professional | $316.61 | $385.63 | $749.22 |