| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.77 | $3,776.00 | $9,727.00 | |
Aetna
| Professional | $48.71 | $71.20 | $119.46 | |
Ambetter
| Professional | $79.20 | $79.20 | $79.20 | |
BCBS
| Facility | $585.37 | $1,094.92 | $1,891.11 | |
BCBS
| Professional | $48.21 | $64.08 | $101.66 | |
Cigna
| Professional | $52.29 | $74.00 | $106.51 | |
Medcost
| Facility | $48.72 | $81.90 | $103.44 | |
Molina
| Professional | $52.95 | $65.88 | $90.20 | |
United
| Facility | $225.00 | $1,221.00 | $3,585.00 | |
United
| Professional | $56.08 | $74.67 | $131.31 |