| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.80 | $87.85 | $334.05 | |
Aetna
| Professional | $15.73 | $16.37 | $32.15 | |
Ambetter
| Professional | $15.07 | $15.07 | $15.07 | |
BCBS
| Facility | $41.32 | $78.09 | $130.94 | |
BCBS
| Professional | $24.11 | $34.00 | $43.31 | |
Cigna
| Facility | $43.81 | $69.89 | $144.61 | |
Cigna
| Professional | $11.01 | $11.40 | $35.11 | |
Medcost
| Facility | $17.37 | $24.11 | $35.32 | |
Medcost
| Professional | $20.00 | $25.86 | $33.00 | |
Molina
| Professional | $13.26 | $13.26 | $19.10 | |
United
| Professional | $10.13 | $13.88 | $28.93 |