| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $405.21 | $405.21 | $405.21 | |
Aetna
| Professional | $405.21 | $438.73 | $758.55 | |
Ambetter
| Professional | $900.95 | $900.95 | $900.95 | |
BCBS
| Professional | $605.00 | $762.74 | $1,076.13 | |
Cigna
| Facility | $636.97 | $636.97 | $703.26 | |
Cigna
| Professional | $464.99 | $636.97 | $712.60 | |
Medcost
| Facility | $405.21 | $567.72 | $1,460.81 | |
Medcost
| Professional | $866.03 | $866.03 | $866.03 | |
Molina
| Professional | $734.47 | $734.47 | $734.47 | |
United
| Professional | $361.50 | $521.96 | $731.02 |