| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $436.52 | $436.52 | $436.52 | |
Aetna
| Professional | $281.84 | $501.19 | $831.76 | |
Ambetter
| Professional | $870.96 | $870.96 | $870.96 | |
BCBS
| Professional | $426.58 | $562.34 | $794.33 | |
Cigna
| Facility | $741.31 | $741.31 | $741.31 | |
Cigna
| Professional | $537.03 | $537.03 | $1,096.48 | |
Molina
| Professional | $676.08 | $831.76 | $1,258.93 | |
Providence
| Facility | $239.88 | $446.68 | $776.25 | |
Providence
| Professional | $501.19 | $537.03 | $912.01 | |
United
| Facility | $416.87 | $588.84 | $1,202.26 | |
United
| Professional | $501.19 | $537.03 | $831.76 |