| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.26 | $114.82 | $676.08 | |
Aetna
| Professional | $74.13 | $91.20 | $173.78 | |
Ambetter
| Professional | $104.71 | $104.71 | $104.71 | |
BCBS
| Professional | $229.09 | $229.09 | $229.09 | |
Cigna
| Facility | $52.48 | $95.50 | $134.90 | |
Cigna
| Professional | $64.57 | $117.49 | $186.21 | |
Molina
| Professional | $32.36 | $33.11 | $38.02 | |
United
| Facility | $134.90 | $134.90 | $134.90 | |
United
| Professional | $75.86 | $95.50 | $177.83 |