| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.33 | $7,762.47 | $9,772.37 | |
Aetna
| Professional | $46.77 | $72.44 | $131.83 | |
Ambetter
| Professional | $51.29 | $51.29 | $54.95 | |
BCBS
| Facility | $416.87 | $758.58 | $1,380.38 | |
BCBS
| Professional | $48.98 | $81.28 | $120.23 | |
Cigna
| Professional | $58.88 | $87.10 | $123.03 | |
Medcost
| Facility | $54.95 | $81.28 | $120.23 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Facility | $380.19 | $1,202.26 | $3,548.13 | |
United
| Professional | $47.86 | $75.86 | $138.04 |