| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.20 | $25.12 | $70.79 | |
Ambetter
| Professional | $16.60 | $21.88 | $26.30 | |
BCBS
| Facility | $47.86 | $47.86 | $47.86 | |
BCBS
| Professional | $25.12 | $28.84 | $34.67 | |
Cigna
| Professional | $18.62 | $30.20 | $46.77 | |
Hally Health
| Professional | $18.62 | $39.81 | $109.65 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $19.05 | $26.30 | $40.74 |