| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.65 | $12.65 | $21.29 | |
Aetna
| Professional | $10.44 | $12.99 | $21.29 | |
Ambetter
| Professional | $13.29 | $13.29 | $13.29 | |
BCBS
| Facility | $13.84 | $14.37 | $14.37 | |
BCBS
| Professional | $83.00 | $83.00 | $83.00 | |
Cigna
| Professional | $10.72 | $14.93 | $22.89 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $10.72 | $12.76 | $19.95 |