| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $56.59 | $97.43 | $124.27 |
Aetna
| Professional | $172.58 | $211.56 | $436.95 | |
Aetna
| Professional | 26 | $42.60 | $56.59 | $124.27 |
Ambetter
| Professional | 26 | $43.42 | $54.65 | $63.63 |
BCBS
| Professional | $314.00 | $314.00 | $314.00 | |
Cigna
| Professional | $172.99 | $270.35 | $402.34 | |
Cigna
| Professional | 26 | $47.88 | $76.40 | $97.28 |
Molina
| Professional | $32.34 | $32.34 | $165.21 | |
United
| Professional | $155.72 | $225.20 | $362.82 | |
United
| Professional | 26 | $40.89 | $65.72 | $103.36 |