| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $323.42 | $323.42 | $329.38 | |
Aetna
| Professional | $323.42 | $440.62 | $504.26 | |
Ambetter
| Professional | $356.89 | $356.89 | $356.89 | |
BCBS
| Professional | $224.72 | $376.32 | $905.07 | |
Cigna
| Professional | $444.06 | $594.49 | $830.61 | |
Molina
| Professional | $32.34 | $32.34 | $627.27 | |
Providence
| Facility | $327.11 | $378.63 | $483.02 | |
Providence
| Professional | $438.14 | $614.29 | $912.72 | |
United
| Professional | $520.52 | $650.65 | $934.57 |