| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $535.03 | $535.03 | $535.03 | |
Aetna
| Professional | $486.34 | $535.03 | $946.56 | |
Ambetter
| Professional | $756.70 | $756.70 | $1,081.00 | |
BCBS
| Professional | $650.00 | $852.35 | $1,172.56 | |
Cigna
| Facility | $660.05 | $731.38 | $807.50 | |
Cigna
| Professional | $533.91 | $650.04 | $860.28 | |
Medcost
| Facility | $481.04 | $758.39 | $1,697.70 | |
Medcost
| Professional | $758.39 | $758.39 | $758.39 | |
Molina
| Professional | $730.46 | $730.46 | $730.46 | |
United
| Professional | $359.53 | $515.25 | $650.04 |