| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $281.84 | $281.84 | $281.84 | |
Aetna
| Professional | $257.04 | $269.15 | $323.59 | |
Ambetter
| Professional | $251.19 | $288.40 | $288.40 | |
BCBS
| Professional | $288.40 | $288.40 | $288.40 | |
Cigna
| Professional | $22.91 | $22.91 | $22.91 | |
Medcost
| Facility | $251.19 | $281.84 | $380.19 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $331.13 | $331.13 | $331.13 |