| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.90 | $936.00 | $4,888.66 | |
Aetna
| Professional | $47.35 | $134.00 | $245.87 | |
Ambetter
| Professional | $39.95 | $86.22 | $109.05 | |
BCBS
| Professional | $186.00 | $186.00 | $186.00 | |
Cigna
| Professional | $61.95 | $123.44 | $281.91 | |
Molina
| Professional | $32.34 | $32.34 | $39.26 | |
United
| Facility | $225.00 | $537.00 | $1,893.00 | |
United
| Professional | $125.02 | $166.84 | $346.04 |