| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.81 | $37.81 | $275.94 | |
Aetna
| Professional | $34.44 | $53.70 | $105.28 | |
Ambetter
| Professional | $33.56 | $43.77 | $60.41 | |
BCBS
| Professional | $33.56 | $40.39 | $97.24 | |
Cigna
| Professional | $45.18 | $74.23 | $104.48 | |
Medcost
| Facility | $37.81 | $72.94 | $98.49 | |
Medcost
| Professional | $53.10 | $53.10 | $53.10 | |
Molina
| Professional | $32.34 | $40.55 | $63.26 | |
United
| Professional | $32.26 | $55.72 | $86.41 |