| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.78 | $371.54 | $741.31 | |
Aetna
| Professional | $229.09 | $338.84 | $446.68 | |
Ambetter
| Professional | $186.21 | $269.15 | $316.23 | |
BCBS
| Facility | $128.82 | $257.04 | $457.09 | |
BCBS
| Professional | $389.05 | $416.87 | $467.74 | |
Cigna
| Facility | $371.54 | $371.54 | $371.54 | |
Cigna
| Professional | $371.54 | $371.54 | $371.54 | |
Medcost
| Facility | $338.84 | $398.11 | $457.09 | |
Molina
| Professional | $30.20 | $323.59 | $407.38 | |
United
| Professional | $316.23 | $380.19 | $398.11 |