| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.91 | $26.25 | $26.89 | |
Ambetter
| Professional | $26.61 | $26.61 | $26.61 | |
BCBS
| Professional | $18.00 | $26.61 | $43.00 | |
Cigna
| Professional | $13.48 | $18.66 | $54.00 | |
Medcost
| Facility | $23.95 | $48.00 | $49.49 | |
Molina
| Professional | $14.64 | $14.64 | $14.64 | |
United
| Professional | $15.97 | $26.61 | $88.82 |