| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $59.42 | $89.70 | $169.25 | |
Aetna
| Professional | 52 | $27.38 | $34.50 | $37.34 |
Ambetter
| Professional | $60.91 | $85.41 | $117.58 | |
BCBS
| Professional | $66.66 | $145.00 | $230.79 | |
Cigna
| Professional | $77.70 | $110.58 | $169.22 | |
Medcost
| Professional | $150.00 | $150.00 | $150.00 | |
Molina
| Professional | $60.90 | $75.96 | $120.53 | |
United
| Professional | $57.74 | $78.12 | $145.26 |