| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $271.67 | $784.00 | $1,831.00 | |
Aetna
| Professional | $160.53 | $352.36 | $741.72 | |
Ambetter
| Professional | $323.24 | $323.24 | $888.00 | |
BCBS
| Professional | $639.00 | $639.00 | $639.00 | |
Cigna
| Professional | $164.63 | $329.34 | $724.41 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Facility | $225.00 | $513.00 | $1,581.00 | |
United
| Professional | $346.64 | $419.25 | $827.24 |