| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $156.52 | $784.00 | $1,831.00 | |
Aetna
| Professional | $101.37 | $162.41 | $345.72 | |
Ambetter
| Professional | $359.62 | $359.62 | $359.62 | |
BCBS
| Facility | $286.13 | $286.13 | $286.13 | |
BCBS
| Professional | $262.00 | $262.00 | $262.00 | |
Cigna
| Facility | $254.12 | $254.12 | $254.12 | |
Cigna
| Professional | $105.60 | $185.64 | $343.48 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Facility | $225.00 | $529.00 | $1,739.00 | |
United
| Professional | $153.60 | $193.75 | $391.68 |