| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $115.07 | $116.12 | $193.70 | |
Aetna
| Professional | $94.84 | $115.07 | $193.70 | |
Ambetter
| Professional | $129.76 | $129.76 | $129.76 | |
BCBS
| Facility | $117.00 | $117.00 | $117.00 | |
BCBS
| Professional | $117.00 | $117.00 | $117.00 | |
Cigna
| Professional | $95.96 | $139.66 | $186.73 | |
Molina
| Professional | $32.34 | $32.34 | $87.84 | |
United
| Professional | $94.57 | $119.05 | $194.16 |