| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.82 | $114.82 | $181.97 | |
Aetna
| Professional | $89.13 | $107.15 | $154.88 | |
Ambetter
| Professional | $100.00 | $123.03 | $138.04 | |
BCBS
| Facility | $117.49 | $117.49 | $117.49 | |
BCBS
| Professional | $117.49 | $117.49 | $117.49 | |
Cigna
| Professional | $97.72 | $141.25 | $194.98 | |
Molina
| Professional | $32.36 | $33.11 | $33.11 | |
United
| Professional | $93.33 | $117.49 | $173.78 |