| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.53 | $123.24 | $248.86 | |
Ambetter
| Professional | $134.55 | $134.55 | $134.55 | |
BCBS
| Professional | $125.16 | $136.50 | $185.29 | |
Cigna
| Professional | $58.67 | $90.16 | $277.77 | |
Medcost
| Facility | $100.53 | $151.38 | $310.00 | |
Molina
| Professional | $132.68 | $156.94 | $235.41 | |
United
| Professional | $89.15 | $122.80 | $431.54 |