| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.29 | $67.61 | $295.12 | |
Aetna
| Professional | $57.54 | $74.13 | $112.20 | |
Ambetter
| Professional | $69.18 | $69.18 | $69.18 | |
BCBS
| Facility | $323.59 | $323.59 | $323.59 | |
BCBS
| Professional | $63.10 | $87.10 | $141.25 | |
Cigna
| Facility | $109.65 | $109.65 | $109.65 | |
Cigna
| Professional | $60.26 | $83.18 | $117.49 | |
Hally Health
| Professional | $60.26 | $93.33 | $380.19 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $72.44 | $95.50 | $151.36 |