| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $230.28 | $1,831.00 | $3,696.60 | |
Aetna
| Professional | $221.01 | $265.49 | $597.11 | |
Aetna
| Professional | AS | $58.56 | $58.56 | $63.39 |
Ambetter
| Professional | $253.01 | $299.01 | $488.39 | |
BCBS
| Professional | $918.00 | $918.00 | $918.00 | |
Cigna
| Professional | $250.95 | $407.50 | $582.46 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Facility | $225.00 | $513.00 | $1,739.00 | |
United
| Professional | $230.68 | $304.79 | $662.67 |