| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $291.45 | $291.45 | $296.64 | |
Aetna
| Professional | $230.52 | $270.75 | $319.20 | |
Ambetter
| Professional | $254.64 | $254.64 | $254.64 | |
BCBS
| Facility | $200.73 | $371.99 | $728.40 | |
BCBS
| Professional | $353.39 | $390.59 | $464.99 | |
Cigna
| Professional | $244.05 | $395.52 | $1,044.52 | |
Health Alliance Plan
| Facility | $266.52 | $266.52 | $296.64 | |
Health Alliance Plan
| Professional | $247.23 | $278.87 | $349.48 | |
Molina
| Professional | $191.85 | $237.22 | $343.95 | |
United
| Professional | $262.64 | $302.95 | $432.00 |