| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.67 | $446.68 | $5,128.61 | |
Aetna
| Professional | $20.89 | $43.65 | $128.82 | |
Ambetter
| Professional | $16.98 | $35.48 | $43.65 | |
BCBS
| Facility | $15.14 | $43.65 | $57.54 | |
BCBS
| Professional | $28.84 | $60.26 | $95.50 | |
Cigna
| Professional | $16.98 | $36.31 | $60.26 | |
Medcost
| Professional | $87.10 | $87.10 | $93.33 | |
Medcost
| Facility | $16.22 | $34.67 | $70.79 | |
United
| Facility | $363.08 | $812.83 | $1,949.84 | |
United
| Professional | $10.96 | $26.92 | $70.79 | |
Wellcare
| Facility | $269.15 | $269.15 | $269.15 | |
Wellcare
| Professional | $371.54 | $371.54 | $380.19 |