| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $118.56 | $937.21 | $9,062.00 | |
Aetna
| Professional | $48.72 | $160.10 | $298.98 | |
Ambetter
| Professional | $48.79 | $48.79 | $162.44 | |
BCBS
| Professional | $45.39 | $106.80 | $208.53 | |
Cigna
| Professional | $61.91 | $163.34 | $329.55 | |
Medcost
| Facility | $54.53 | $177.80 | $300.14 | |
Molina
| Professional | $137.14 | $187.03 | $285.87 | |
United
| Facility | $225.00 | $1,221.00 | $3,585.00 | |
United
| Professional | $158.30 | $229.79 | $424.05 |