| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $503.54 | $503.54 | $503.54 | |
Aetna
| Professional | $429.79 | $503.54 | $890.84 | |
Ambetter
| Professional | $686.95 | $1,017.36 | $1,017.36 | |
BCBS
| Professional | $550.00 | $693.40 | $1,135.21 | |
Cigna
| Facility | $217.53 | $710.11 | $784.02 | |
Cigna
| Professional | $518.38 | $518.38 | $640.50 | |
Medcost
| Facility | $452.72 | $714.00 | $1,597.76 | |
Medcost
| Professional | $612.00 | $612.00 | $612.00 | |
Molina
| Professional | $687.46 | $687.46 | $687.46 | |
United
| Professional | $338.37 | $482.98 | $611.79 |