| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.86 | $39.18 | $270.60 | |
Aetna
| Professional | $35.20 | $45.11 | $63.65 | |
Ambetter
| Professional | $40.95 | $40.95 | $40.95 | |
BCBS
| Facility | $161.77 | $593.20 | $966.61 | |
BCBS
| Professional | $27.99 | $45.00 | $98.80 | |
Cigna
| Professional | $47.55 | $68.61 | $99.39 | |
Molina
| Professional | $32.34 | $32.34 | $73.06 | |
Providence
| Facility | $35.20 | $45.13 | $73.98 | |
Providence
| Professional | $45.57 | $71.70 | $105.60 | |
United
| Professional | $61.16 | $86.40 | $125.28 |