| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.65 | $111.13 | $401.20 | |
Aetna
| Professional | $15.71 | $18.79 | $34.82 | |
Ambetter
| Professional | $43.12 | $43.12 | $43.12 | |
BCBS
| Facility | $37.01 | $77.31 | $147.55 | |
BCBS
| Professional | $24.09 | $34.00 | $45.00 | |
Cigna
| Facility | $12.08 | $69.84 | $144.61 | |
Cigna
| Professional | $11.01 | $11.40 | $34.59 | |
Medcost
| Facility | $17.37 | $25.23 | $35.32 | |
Medcost
| Professional | $20.00 | $25.86 | $33.00 | |
Molina
| Professional | $13.25 | $13.25 | $19.07 | |
United
| Professional | $10.11 | $14.45 | $28.91 |