| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.26 | $133.00 | $654.36 | |
Aetna
| Professional | $24.73 | $37.71 | $56.66 | |
Ambetter
| Professional | $33.92 | $33.92 | $39.24 | |
BCBS
| Facility | $93.91 | $218.27 | $348.29 | |
BCBS
| Professional | $23.08 | $35.71 | $49.89 | |
Cigna
| Professional | $20.76 | $29.94 | $89.33 | |
Medcost
| Facility | $24.95 | $37.04 | $52.70 | |
Medcost
| Facility | AS | $4.59 | $5.03 | $5.64 |
Molina
| Professional | $52.95 | $65.88 | $90.20 | |
United
| Professional | $31.33 | $38.04 | $42.24 |