| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $323.59 | $323.59 | $323.59 | |
Aetna
| Professional | $288.40 | $331.13 | $436.52 | |
Ambetter
| Professional | $275.42 | $302.00 | $338.84 | |
BCBS
| Facility | $1,548.82 | $2,754.23 | $4,786.30 | |
BCBS
| Professional | $275.42 | $354.81 | $489.78 | |
Cigna
| Professional | $331.13 | $398.11 | $630.96 | |
Medcost
| Facility | $295.12 | $354.81 | $602.56 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $281.84 | $346.74 | $562.34 |