| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $224.78 | $224.78 | $760.13 | |
Ambetter
| Professional | $160.36 | $160.36 | $222.50 | |
BCBS
| Professional | $342.00 | $342.00 | $342.00 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $667.20 | $1,071.14 | $1,843.59 |