| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.01 | $34.01 | $34.01 | |
Aetna
| Professional | $22.24 | $34.01 | $63.60 | |
Ambetter
| Professional | $45.19 | $46.02 | $85.00 | |
BCBS
| Professional | $57.00 | $71.86 | $92.36 | |
Cigna
| Facility | $52.17 | $52.17 | $57.60 | |
Cigna
| Professional | $44.34 | $52.17 | $59.73 | |
Medcost
| Facility | $18.91 | $57.82 | $126.89 | |
Medcost
| Professional | $73.91 | $73.91 | $73.91 | |
Molina
| Professional | $63.81 | $63.81 | $63.81 | |
United
| Professional | $31.41 | $44.35 | $63.08 |