| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $62.82 | $103.72 | $181.33 | |
Ambetter
| Professional | $72.03 | $100.84 | $180.50 | |
BCBS
| Professional | $60.14 | $94.68 | $134.25 | |
Cigna
| Facility | $97.37 | $97.37 | $97.37 | |
Cigna
| Professional | $69.59 | $107.53 | $172.38 | |
Medcost
| Facility | $65.54 | $101.00 | $173.35 | |
Medcost
| Professional | $60.00 | $101.00 | $136.00 | |
Molina
| Professional | $42.97 | $71.37 | $111.12 | |
United
| Professional | $80.95 | $106.28 | $161.30 |