| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.78 | $382.14 | $9,062.00 | |
Aetna
| Professional | $83.23 | $134.71 | $260.63 | |
Ambetter
| Professional | $134.74 | $134.74 | $189.24 | |
BCBS
| Facility | $194.50 | $393.78 | $626.27 | |
BCBS
| Professional | $84.85 | $134.74 | $174.13 | |
Cigna
| Professional | $88.24 | $129.53 | $196.76 | |
Medcost
| Facility | $83.34 | $134.74 | $195.34 | |
Molina
| Professional | $86.25 | $117.12 | $157.40 | |
United
| Facility | $225.00 | $1,221.00 | $3,585.00 | |
United
| Professional | $111.79 | $138.16 | $273.27 |