| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $596.38 | $596.38 | $3,811.81 | |
Ambetter
| Professional | $424.23 | $424.23 | $588.89 | |
Ambetter
| Professional | 50 | $507.66 | $507.66 | $507.66 |
BCBS
| Facility | $8,651.79 | $8,651.79 | $8,651.79 | |
BCBS
| Professional | $921.00 | $921.00 | $8,651.79 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $3,610.87 | $5,416.31 | $9,576.58 |