| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.30 | $72.30 | $72.30 | |
Aetna
| Professional | $69.37 | $87.73 | $127.91 | |
Ambetter
| Professional | $94.95 | $131.46 | $150.00 | |
BCBS
| Professional | $85.00 | $104.61 | $154.83 | |
Cigna
| Facility | $65.06 | $96.73 | $106.79 | |
Cigna
| Professional | $70.61 | $95.80 | $143.21 | |
Medcost
| Facility | $65.00 | $105.00 | $229.42 | |
Medcost
| Professional | $82.00 | $82.00 | $88.00 | |
Molina
| Professional | $98.70 | $98.70 | $98.70 | |
United
| Professional | $48.58 | $72.22 | $92.90 |