| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.71 | $61.66 | $97.72 | |
Aetna
| Professional | $38.02 | $57.54 | $112.20 | |
Ambetter
| Professional | $50.12 | $50.12 | $64.57 | |
BCBS
| Professional | $151.36 | $151.36 | $151.36 | |
Cigna
| Facility | $85.11 | $85.11 | $223.87 | |
Cigna
| Professional | $43.65 | $79.43 | $138.04 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Facility | $107.15 | $169.82 | $251.19 | |
United
| Professional | $39.81 | $67.61 | $141.25 |