| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $446.68 | $446.68 | $446.68 | |
Aetna
| Professional | $354.81 | $524.81 | $831.76 | |
Ambetter
| Professional | $660.69 | $660.69 | $660.69 | |
BCBS
| Professional | $302.00 | $1,023.29 | $1,288.25 | |
Cigna
| Facility | $758.58 | $758.58 | $1,148.15 | |
Cigna
| Professional | $549.54 | $549.54 | $891.25 | |
Medcost
| Facility | $398.11 | $616.60 | $1,584.89 | |
Medcost
| Professional | $251.19 | $251.19 | $354.81 | |
Molina
| Professional | $30.20 | $30.20 | $831.76 | |
United
| Facility | $0.87 | $645.65 | $1,230.27 | |
United
| Professional | $416.87 | $616.60 | $870.96 |