| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $609.76 | $609.76 | $609.76 | |
Aetna
| Professional | $609.76 | $743.45 | $3,483.15 | |
Ambetter
| Professional | $932.70 | $932.70 | $932.70 | |
BCBS
| Professional | $745.01 | $993.35 | $1,183.58 | |
Cigna
| Facility | $756.07 | $756.07 | $756.07 | |
Cigna
| Professional | $551.92 | $756.07 | $756.07 | |
Molina
| Professional | $1,457.23 | $1,821.54 | $2,732.31 | |
Providence
| Facility | $355.96 | $355.96 | $934.48 | |
Providence
| Professional | $551.92 | $756.07 | $1,414.74 | |
United
| Professional | $500.65 | $551.38 | $830.58 |