| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.90 | $54.95 | $588.84 | |
Aetna
| Professional | $51.29 | $64.57 | $123.03 | |
Ambetter
| Professional | $42.66 | $46.77 | $60.26 | |
BCBS
| Professional | $114.82 | $114.82 | $114.82 | |
Cigna
| Facility | $27.54 | $58.88 | $114.82 | |
Cigna
| Professional | $43.65 | $83.18 | $131.83 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Facility | $87.10 | $87.10 | $87.10 | |
United
| Professional | $52.48 | $70.79 | $128.82 |