| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $228.24 | $228.24 | $228.24 | |
Aetna
| Professional | $206.98 | $226.13 | $266.33 | |
Ambetter
| Professional | $102.04 | $258.23 | $258.23 | |
BCBS
| Professional | $258.23 | $258.23 | $258.23 | |
Cigna
| Professional | $65.81 | $65.81 | $65.81 | |
Medcost
| Facility | $202.00 | $237.27 | $294.29 | |
Molina
| Professional | $3,000.00 | $3,000.00 | $3,000.00 |