| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $266.22 | $266.22 | $510.00 | |
Aetna
| Professional | $227.01 | $253.75 | $448.13 | |
Ambetter
| Professional | $274.95 | $274.95 | $595.98 | |
BCBS
| Facility | $487.64 | $487.64 | $536.40 | |
BCBS
| Professional | $127.00 | $127.00 | $127.00 | |
Cigna
| Facility | $225.03 | $225.03 | $225.03 | |
Cigna
| Professional | $187.99 | $246.73 | $259.12 | |
Molina
| Professional | $42.50 | $50.00 | $233.21 | |
United
| Professional | $210.07 | $262.20 | $457.03 |