| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $234.42 | $234.42 | $371.54 | |
Aetna
| Professional | $186.21 | $218.78 | $316.23 | |
Ambetter
| Professional | $173.78 | $213.80 | $407.38 | |
BCBS
| Facility | $239.88 | $239.88 | $239.88 | |
BCBS
| Professional | $239.88 | $239.88 | $239.88 | |
Cigna
| Professional | $194.98 | $281.84 | $380.19 | |
Molina
| Professional | $32.36 | $33.11 | $33.11 | |
United
| Professional | $186.21 | $239.88 | $346.74 |