| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $80.55 | $138.66 | $176.87 |
Aetna
| Professional | $133.50 | $172.29 | $378.33 | |
Ambetter
| Professional | $174.91 | $174.91 | $378.63 | |
BCBS
| Professional | $320.00 | $320.00 | $320.00 | |
Cigna
| Professional | $137.46 | $254.23 | $396.41 | |
Molina
| Professional | $32.34 | $32.34 | $81.30 | |
United
| Professional | $154.66 | $213.30 | $408.58 |