| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.75 | $30.75 | $224.41 | |
Aetna
| Professional | $27.26 | $32.45 | $68.67 | |
Ambetter
| Professional | $25.35 | $39.53 | $49.07 | |
BCBS
| Professional | $27.26 | $32.79 | $60.60 | |
Cigna
| Professional | $33.08 | $43.60 | $70.13 | |
Medcost
| Facility | $29.60 | $39.53 | $59.78 | |
Medcost
| Professional | $29.37 | $29.37 | $29.37 | |
Molina
| Professional | $32.34 | $40.55 | $63.26 | |
United
| Professional | $25.70 | $33.22 | $55.16 |