| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $242.20 | $242.20 | $1,015.19 | |
Ambetter
| Professional | $722.83 | $722.83 | $722.83 | |
BCBS
| Professional | $367.00 | $367.00 | $367.00 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $912.73 | $1,363.94 | $2,825.81 |