| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.96 | $35.19 | $1,417.60 | |
Aetna
| Professional | $30.96 | $35.19 | $46.90 | |
Ambetter
| Professional | $89.72 | $89.72 | $89.72 | |
BCBS
| Professional | $22.00 | $22.00 | $22.00 | |
Molina
| Professional | $38.25 | $38.25 | $45.00 | |
United
| Professional | $57.11 | $72.34 | $161.08 |