| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $118.12 | $993.00 | $3,408.60 | |
Aetna
| Professional | $86.56 | $128.68 | $241.00 | |
Ambetter
| Professional | $134.01 | $134.01 | $134.01 | |
BCBS
| Facility | $131.83 | $131.83 | $131.83 | |
BCBS
| Professional | $210.00 | $210.00 | $210.00 | |
Cigna
| Facility | $103.73 | $103.73 | $658.29 | |
Cigna
| Professional | $93.04 | $143.28 | $241.00 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Facility | $455.00 | $858.00 | $1,957.00 | |
United
| Professional | $114.09 | $143.28 | $289.30 |