| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.60 | $36.60 | $36.60 | |
Aetna
| Professional | $36.60 | $36.60 | $68.44 | |
Ambetter
| Professional | $82.52 | $82.52 | $82.52 | |
BCBS
| Professional | $45.00 | $56.73 | $94.09 | |
Cigna
| Facility | $57.67 | $57.67 | $63.67 | |
Cigna
| Professional | $42.10 | $42.10 | $90.07 | |
Medcost
| Facility | $36.60 | $63.45 | $122.76 | |
Medcost
| Professional | $71.28 | $71.28 | $71.28 | |
Molina
| Professional | $68.65 | $68.65 | $68.65 | |
United
| Professional | $33.79 | $48.23 | $63.73 |