| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $954.99 | $1,995.26 | |
Aetna
| Professional | $77.62 | $107.15 | $186.21 | |
Ambetter
| Professional | $70.79 | $97.72 | $134.90 | |
BCBS
| Professional | $134.90 | $134.90 | $134.90 | |
Cigna
| Professional | $79.43 | $131.83 | $190.55 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Facility | $338.84 | $588.84 | $1,659.59 | |
United
| Professional | $85.11 | $114.82 | $194.98 |