| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $270.95 | $336.83 | $622.16 | |
Ambetter
| Professional | $337.34 | $477.45 | $561.70 | |
BCBS
| Professional | $200.00 | $220.96 | $355.74 | |
Cigna
| Facility | $100.00 | $100.00 | $386.44 | |
Cigna
| Professional | $316.69 | $381.54 | $661.46 | |
Medcost
| Facility | $284.89 | $384.36 | $576.33 | |
Medcost
| Professional | $384.36 | $384.36 | $824.43 | |
Molina
| Professional | $274.78 | $379.54 | $592.70 | |
United
| Professional | $289.98 | $345.51 | $556.30 |