| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.80 | $45.13 | $71.08 | |
Aetna
| Professional | $37.56 | $42.65 | $75.97 | |
Ambetter
| Professional | $46.52 | $46.52 | $56.48 | |
BCBS
| Facility | $101.17 | $141.65 | $141.65 | |
BCBS
| Professional | $69.00 | $69.00 | $69.00 | |
Cigna
| Professional | $36.60 | $54.13 | $73.02 | |
Molina
| Professional | $31.89 | $32.34 | $32.34 | |
United
| Professional | $38.03 | $47.97 | $77.72 |