| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $235.45 | $900.00 | $1,831.00 | |
Aetna
| Professional | $98.95 | $241.81 | $617.46 | |
Ambetter
| Professional | $126.70 | $278.39 | $493.19 | |
BCBS
| Facility | $431.11 | $431.11 | $474.22 | |
BCBS
| Professional | $410.00 | $410.00 | $410.00 | |
Cigna
| Facility | $343.53 | $384.58 | $425.17 | |
Cigna
| Professional | $130.60 | $246.61 | $484.51 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Facility | $455.00 | $870.00 | $3,779.00 | |
United
| Professional | $200.44 | $289.68 | $595.79 |