| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $323.62 | $750.00 | $1,831.00 | |
Aetna
| Professional | $203.50 | $323.62 | $617.00 | |
Ambetter
| Professional | $427.67 | $427.67 | $427.67 | |
BCBS
| Facility | $209.89 | $209.89 | $209.89 | |
BCBS
| Professional | $492.00 | $492.00 | $492.00 | |
Cigna
| Facility | $221.79 | $221.79 | $382.44 | |
Cigna
| Professional | $241.87 | $401.32 | $717.29 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Facility | $225.00 | $529.00 | $1,739.00 | |
United
| Professional | $320.77 | $384.73 | $815.62 |