| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $256.77 | $256.77 | $256.77 | |
Aetna
| Professional | $242.95 | $256.77 | $454.26 | |
Ambetter
| Professional | $518.78 | $518.78 | $518.78 | |
BCBS
| Professional | $275.00 | $346.70 | $550.37 | |
Cigna
| Facility | $176.72 | $297.02 | $327.93 | |
Cigna
| Professional | $216.82 | $297.02 | $423.66 | |
Medcost
| Facility | $225.23 | $372.00 | $814.74 | |
Medcost
| Professional | $290.00 | $290.00 | $290.00 | |
Molina
| Professional | $350.55 | $350.55 | $350.55 | |
United
| Professional | $172.54 | $246.20 | $311.97 |