| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.43 | $954.99 | $1,995.26 | |
Aetna
| Professional | $44.67 | $77.62 | $125.89 | |
Ambetter
| Professional | $51.29 | $51.29 | $52.48 | |
BCBS
| Professional | $144.54 | $144.54 | $144.54 | |
Cigna
| Professional | $46.77 | $87.10 | $154.88 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Facility | $338.84 | $588.84 | $1,659.59 | |
United
| Professional | $53.70 | $85.11 | $138.04 |