| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.90 | $39.81 | $97.72 | |
Ambetter
| Professional | $29.51 | $33.88 | $50.12 | |
BCBS
| Professional | $36.31 | $50.12 | $109.65 | |
Cigna
| Professional | $45.71 | $77.62 | $104.71 | |
Medcost
| Professional | $83.18 | $83.18 | $89.13 | |
Medcost
| Professional | $85.11 | $85.11 | $85.11 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $28.18 | $41.69 | $93.33 |