| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.71 | $46.44 | $93.93 | |
Ambetter
| Professional | $74.70 | $74.70 | $74.70 | |
BCBS
| Professional | $41.73 | $70.00 | $158.90 | |
Cigna
| Professional | $52.62 | $71.95 | $107.36 | |
Medcost
| Professional | $210.00 | $210.00 | $210.00 | |
Molina
| Professional | $28.56 | $37.00 | $57.58 | |
United
| Professional | $37.82 | $52.14 | $91.96 |