| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $19.95 | $38.90 | |
Aetna
| Professional | 25 | $19.95 | $19.95 | $35.48 |
Ambetter
| Professional | $15.14 | $19.95 | $26.30 | |
BCBS
| Professional | $3.02 | $20.89 | $28.84 | |
Cigna
| Professional | $19.05 | $22.39 | $26.92 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $13.49 | $19.50 | $24.55 |