| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $118.53 | $152.63 | $332.74 | |
Aetna
| Professional | $356.70 | $452.00 | $799.66 | |
Ambetter
| Professional | $616.65 | $759.34 | $821.92 | |
BCBS
| Facility | $111.59 | $141.85 | $766.00 | |
BCBS
| Professional | $530.00 | $652.27 | $968.03 | |
Cigna
| Facility | $406.74 | $460.00 | $507.87 | |
Cigna
| Professional | $335.80 | $460.00 | $549.17 | |
Medcost
| Facility | $317.87 | $632.79 | $1,393.38 | |
Medcost
| Professional | $514.00 | $514.00 | $552.00 | |
Molina
| Professional | $617.10 | $617.10 | $617.10 | |
United
| Professional | $284.76 | $411.37 | $522.90 |