| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $85.96 | $137.57 | $210.00 | |
Aetna
| Professional | 25 | $150.00 | $150.00 | $230.00 |
Ambetter
| Professional | $176.52 | $176.52 | $180.59 | |
BCBS
| Professional | $162.00 | $162.00 | $162.00 | |
Cigna
| Professional | $60.07 | $133.15 | $239.67 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $94.43 | $137.38 | $163.35 |