| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $255.57 | $255.57 | $260.18 | |
Aetna
| Professional | $232.45 | $251.94 | $334.26 | |
Ambetter
| Professional | $250.25 | $332.89 | $444.93 | |
BCBS
| Facility | $1,577.48 | $2,867.21 | $4,635.57 | |
BCBS
| Professional | $237.22 | $303.00 | $483.58 | |
Cigna
| Professional | $268.49 | $319.64 | $497.94 | |
Medcost
| Facility | $247.12 | $308.81 | $522.90 | |
Molina
| Professional | $197.06 | $264.95 | $397.43 | |
United
| Professional | $241.45 | $283.83 | $483.52 |