| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.15 | $110.50 | $342.65 | |
Ambetter
| Professional | $301.83 | $301.83 | $301.83 | |
BCBS
| Professional | $104.76 | $104.76 | $104.76 | |
Cigna
| Professional | $164.07 | $337.00 | $426.93 | |
Molina
| Professional | $25.00 | $45.00 | $80.00 | |
United
| Professional | $63.81 | $89.47 | $204.56 |