| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $299.74 | $299.74 | $299.74 | |
Aetna
| Professional | $299.74 | $299.74 | $300.00 | |
Ambetter
| Professional | $132.00 | $132.00 | $132.00 | |
BCBS
| Professional | $229.00 | $229.00 | $229.00 | |
Cigna
| Professional | $231.29 | $231.29 | $231.29 | |
Molina
| Professional | $17.00 | $25.00 | $50.00 |