| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.27 | $475.00 | $1,831.00 | |
Aetna
| Professional | $36.59 | $61.85 | $104.67 | |
Ambetter
| Professional | $62.38 | $62.38 | $68.55 | |
BCBS
| Professional | $82.00 | $82.00 | $82.00 | |
Cigna
| Professional | $46.96 | $76.91 | $128.21 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Facility | $225.00 | $529.00 | $1,739.00 | |
United
| Professional | $61.25 | $78.18 | $156.44 |