| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.83 | $37.29 | $226.72 | |
Aetna
| Professional | $34.83 | $37.77 | $43.41 | |
Ambetter
| Professional | $33.20 | $33.20 | $33.20 | |
BCBS
| Facility | $45.14 | $101.61 | $224.49 | |
BCBS
| Professional | $30.00 | $39.34 | $59.54 | |
Cigna
| Facility | $86.90 | $138.62 | $289.24 | |
Cigna
| Professional | $22.29 | $29.95 | $68.66 | |
Medcost
| Facility | $35.86 | $44.75 | $71.15 | |
Medcost
| Professional | $26.00 | $55.19 | $71.00 | |
Molina
| Professional | $26.30 | $26.30 | $37.86 | |
United
| Professional | $20.07 | $28.69 | $63.22 |