| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.33 | $75.97 | $126.64 | |
Aetna
| Professional | $35.33 | $45.23 | $90.00 | |
Ambetter
| Professional | $17.67 | $17.67 | $17.67 | |
BCBS
| Facility | $41.33 | $189.36 | $668.79 | |
BCBS
| Professional | $3.50 | $35.33 | $35.33 | |
Cigna
| Facility | $24.51 | $84.49 | $162.31 | |
Cigna
| Professional | $28.86 | $41.00 | $51.56 | |
Molina
| Professional | $17.67 | $30.00 | $37.09 | |
United
| Facility | $54.44 | $54.44 | $54.44 | |
United
| Professional | $18.95 | $26.50 | $45.11 |