| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.86 | $54.95 | $72.44 | |
Ambetter
| Professional | $52.48 | $52.48 | $52.48 | |
BCBS
| Professional | $54.95 | $61.66 | $72.44 | |
Cigna
| Professional | $50.12 | $69.18 | $141.25 | |
Medcost
| Professional | $67.61 | $67.61 | $74.13 | |
Medcost
| Professional | $57.54 | $57.54 | $57.54 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $42.66 | $53.70 | $81.28 |