| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $147.91 | $954.99 | $1,995.26 | |
Aetna
| Professional | $91.20 | $147.91 | $295.12 | |
Ambetter
| Professional | $128.82 | $128.82 | $128.82 | |
BCBS
| Facility | $407.38 | $407.38 | $407.38 | |
BCBS
| Professional | $194.98 | $194.98 | $398.11 | |
Cigna
| Facility | $346.74 | $380.19 | $426.58 | |
Cigna
| Professional | $120.23 | $194.98 | $323.59 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Facility | $457.09 | $954.99 | $1,949.84 | |
United
| Professional | $93.33 | $169.82 | $346.74 |