| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.01 | $500.00 | $1,831.00 | |
Aetna
| Professional | $77.95 | $134.11 | $331.16 | |
Ambetter
| Professional | $107.74 | $107.74 | $107.74 | |
BCBS
| Facility | $410.58 | $410.58 | $410.58 | |
BCBS
| Professional | $167.00 | $167.00 | $167.00 | |
Cigna
| Facility | $441.66 | $494.44 | $546.61 | |
Cigna
| Professional | $99.57 | $169.73 | $302.95 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Facility | $455.00 | $870.00 | $3,779.00 | |
United
| Professional | $130.99 | $194.34 | $378.38 |