| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.28 | $107.13 | $332.25 | |
Ambetter
| Professional | $221.74 | $262.27 | $301.02 | |
BCBS
| Professional | $227.00 | $247.97 | $329.03 | |
Cigna
| Professional | $150.19 | $408.12 | $721.88 | |
Medcost
| Professional | $236.54 | $236.54 | $236.54 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $65.40 | $160.00 | $292.80 |