| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.66 | $445.50 | $5,177.00 | |
Aetna
| Professional | $21.33 | $44.34 | $122.71 | |
Ambetter
| Professional | $19.14 | $19.14 | $19.14 | |
BCBS
| Facility | $14.53 | $43.25 | $53.26 | |
BCBS
| Professional | $32.36 | $60.64 | $107.51 | |
Cigna
| Professional | $19.71 | $37.79 | $81.30 | |
Medcost
| Facility | $24.75 | $45.45 | $78.75 | |
Medcost
| Professional | $78.75 | $78.75 | $78.75 | |
United
| Facility | $361.00 | $896.00 | $2,229.00 | |
United
| Professional | $23.39 | $40.19 | $80.95 | |
Wellcare
| Facility | $134.81 | $134.81 | $134.81 | |
Wellcare
| Professional | $169.50 | $372.75 | $376.33 |