| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.87 | $954.99 | $1,995.26 | |
Aetna
| Professional | $77.62 | $302.00 | $831.76 | |
Ambetter
| Professional | $66.07 | $66.07 | $263.03 | |
BCBS
| Professional | $162.18 | $162.18 | $162.18 | |
Cigna
| Professional | $104.71 | $707.95 | $1,479.11 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Facility | $338.84 | $588.84 | $1,659.59 | |
United
| Professional | $89.13 | $645.65 | $1,348.96 |