| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $106.31 | $159.25 | $293.76 | |
Ambetter
| Professional | $129.57 | $186.00 | $269.68 | |
BCBS
| Professional | $75.00 | $131.41 | $214.19 | |
Cigna
| Facility | $163.28 | $163.28 | $163.28 | |
Cigna
| Professional | $115.10 | $164.15 | $270.11 | |
Medcost
| Facility | $119.17 | $156.02 | $270.73 | |
Medcost
| Professional | $85.00 | $148.00 | $203.00 | |
Molina
| Professional | $71.69 | $115.59 | $165.29 | |
United
| Professional | $119.24 | $159.74 | $241.13 |