| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.05 | $28.84 | $57.54 | |
Ambetter
| Professional | $16.98 | $32.36 | $43.65 | |
BCBS
| Professional | $29.51 | $37.15 | $56.23 | |
Cigna
| Professional | $25.70 | $33.88 | $48.98 | |
Medcost
| Professional | $44.67 | $44.67 | $47.86 | |
Medcost
| Professional | $33.11 | $33.11 | $33.11 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $19.95 | $28.84 | $47.86 |