| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $172.34 | $383.76 | $553.86 | |
Aetna
| Professional | $274.02 | $335.55 | $409.50 | |
Ambetter
| Professional | $208.99 | $208.99 | $208.99 | |
BCBS
| Facility | $127.11 | $256.50 | $405.04 | |
BCBS
| Professional | $347.39 | $394.76 | $470.75 | |
Cigna
| Facility | $368.58 | $368.58 | $368.58 | |
Cigna
| Professional | $368.58 | $368.58 | $368.58 | |
Medcost
| Facility | $335.55 | $369.11 | $452.99 | |
Molina
| Professional | $282.81 | $323.70 | $404.62 | |
United
| Professional | $329.09 | $378.45 | $394.91 |