| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $149.16 | $784.00 | $1,831.00 | |
Aetna
| Professional | $98.79 | $167.18 | $329.48 | |
Ambetter
| Professional | $172.00 | $172.00 | $176.18 | |
BCBS
| Facility | $146.85 | $146.85 | $146.85 | |
BCBS
| Professional | $253.00 | $253.00 | $253.00 | |
Cigna
| Facility | $110.46 | $110.46 | $254.12 | |
Cigna
| Professional | $102.91 | $180.17 | $328.05 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Facility | $225.00 | $529.00 | $1,739.00 | |
United
| Professional | $146.09 | $189.19 | $373.31 |