| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.90 | $38.90 | $39.81 | |
Aetna
| Professional | $35.48 | $41.69 | $85.11 | |
Ambetter
| Professional | $36.31 | $39.81 | $66.07 | |
BCBS
| Facility | $208.93 | $398.11 | $724.44 | |
BCBS
| Professional | $32.36 | $42.66 | $64.57 | |
Cigna
| Professional | $40.74 | $48.98 | $77.62 | |
Medcost
| Facility | $36.31 | $43.65 | $75.86 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Facility | $158.49 | $181.97 | $239.88 | |
United
| Professional | $34.67 | $42.66 | $69.18 |