| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $160.24 | $160.24 | $162.22 | |
Aetna
| Professional | $141.02 | $156.27 | $207.67 | |
Ambetter
| Professional | $150.44 | $217.01 | $264.88 | |
BCBS
| Facility | $1,577.48 | $2,867.21 | $4,635.57 | |
BCBS
| Professional | $150.34 | $187.00 | $309.45 | |
Cigna
| Professional | $165.37 | $196.63 | $307.29 | |
Medcost
| Facility | $153.60 | $188.23 | $324.61 | |
Molina
| Professional | $140.00 | $188.33 | $280.98 | |
United
| Professional | $147.59 | $186.43 | $334.76 |