| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.69 | $272.69 | $296.30 | |
Aetna
| Professional | $38.04 | $48.27 | $71.11 | |
Ambetter
| Professional | $39.94 | $56.52 | $66.50 | |
BCBS
| Facility | $202.60 | $430.36 | $737.66 | |
BCBS
| Professional | $38.64 | $61.00 | $86.66 | |
Cigna
| Facility | $84.88 | $84.88 | $84.88 | |
Cigna
| Professional | $49.79 | $63.08 | $110.28 | |
Medcost
| Facility | $40.14 | $56.12 | $89.04 | |
Medcost
| Professional | $73.76 | $73.76 | $73.76 | |
Molina
| Professional | $60.90 | $75.96 | $120.53 | |
United
| Facility | $358.00 | $1,221.00 | $3,585.00 | |
United
| Professional | $45.58 | $55.65 | $85.40 |