| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.41 | $784.00 | $1,831.00 | |
Aetna
| Professional | $109.68 | $156.21 | $276.00 | |
Ambetter
| Professional | $187.68 | $187.68 | $187.68 | |
BCBS
| Facility | $148.25 | $148.25 | $148.25 | |
BCBS
| Professional | $246.00 | $246.00 | $246.00 | |
Cigna
| Facility | $116.79 | $116.79 | $658.29 | |
Cigna
| Professional | $115.08 | $187.58 | $298.00 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Facility | $455.00 | $858.00 | $1,957.00 | |
United
| Professional | $143.43 | $176.12 | $356.94 |