| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.20 | $34.67 | $1,412.54 | |
Aetna
| Professional | $18.20 | $36.31 | $70.79 | |
Ambetter
| Professional | $35.48 | $35.48 | $104.71 | |
BCBS
| Professional | $21.88 | $21.88 | $21.88 | |
Molina
| Professional | $38.02 | $38.02 | $44.67 | |
United
| Professional | $54.95 | $69.18 | $147.91 |