| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.23 | $229.09 | $645.65 | |
Aetna
| Professional | $51.29 | $56.23 | $79.43 | |
Ambetter
| Professional | $43.65 | $44.67 | $44.67 | |
BCBS
| Facility | $446.68 | $446.68 | $478.63 | |
BCBS
| Professional | $72.44 | $77.62 | $102.33 | |
Cigna
| Facility | $46.77 | $181.97 | $407.38 | |
Cigna
| Professional | $30.90 | $33.11 | $104.71 | |
Medcost
| Facility | $50.12 | $64.57 | $95.50 | |
United
| Facility | $64.57 | $72.44 | $87.10 | |
United
| Professional | $30.20 | $43.65 | $79.43 |