| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $724.44 | $6,025.60 | $16,595.87 | |
Aetna
| Professional | $331.13 | $645.65 | $1,318.26 | |
Ambetter
| Professional | $562.34 | $630.96 | $954.99 | |
BCBS
| Facility | $602.56 | $1,047.13 | $1,905.46 | |
BCBS
| Professional | $295.12 | $660.69 | $870.96 | |
Cigna
| Professional | $363.08 | $602.56 | $891.25 | |
Medcost
| Professional | $1,122.02 | $1,122.02 | $1,122.02 | |
Medcost
| Facility | $346.74 | $616.60 | $933.25 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Facility | $380.19 | $1,230.27 | $3,548.13 | |
United
| Professional | $316.23 | $549.54 | $912.01 |