| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.48 | $48.80 | $351.45 | |
Aetna
| Professional | $27.20 | $45.66 | $74.30 | |
Ambetter
| Professional | $19.32 | $19.32 | $32.67 | |
BCBS
| Facility | $286.13 | $286.13 | $286.13 | |
BCBS
| Professional | $76.00 | $76.00 | $76.00 | |
Cigna
| Facility | $171.28 | $171.28 | $171.28 | |
Cigna
| Professional | $15.25 | $27.11 | $50.95 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $32.95 | $38.04 | $69.30 |