| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.48 | $53.70 | $346.74 | |
Aetna
| Professional | $46.77 | $53.70 | $102.33 | |
Ambetter
| Professional | $42.66 | $53.70 | $74.13 | |
BCBS
| Facility | $177.83 | $371.54 | $724.44 | |
BCBS
| Professional | $42.66 | $57.54 | $85.11 | |
Cigna
| Professional | $53.70 | $64.57 | $102.33 | |
Medcost
| Facility | $48.98 | $58.88 | $100.00 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Facility | $398.11 | $457.09 | $602.56 | |
United
| Professional | $46.77 | $57.54 | $91.20 |