| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $196.69 | $196.69 | $196.69 | |
Aetna
| Professional | $196.69 | $213.54 | $245.00 | |
Ambetter
| Professional | $202.99 | $202.99 | $202.99 | |
BCBS
| Professional | $150.00 | $150.00 | $150.00 | |
Cigna
| Professional | $65.81 | $65.81 | $65.81 | |
Molina
| Professional | $218.64 | $226.29 | $1,000.00 | |
United
| Professional | $207.49 | $207.49 | $207.49 |