| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.14 | $80.94 | $467.57 | |
Aetna
| Professional | $25.20 | $46.12 | $117.00 | |
Ambetter
| Professional | $16.68 | $18.05 | $18.05 | |
BCBS
| Facility | $58.00 | $58.00 | $58.00 | |
BCBS
| Professional | $58.00 | $58.00 | $58.00 | |
Cigna
| Facility | $26.77 | $35.86 | $55.68 | |
Cigna
| Professional | $20.54 | $43.22 | $58.85 | |
Molina
| Professional | $17.00 | $20.00 | $40.00 | |
United
| Professional | $16.30 | $20.23 | $65.90 |