| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.50 | $60.55 | $101.93 | |
Aetna
| Professional | $50.10 | $57.74 | $100.16 | |
Ambetter
| Professional | $113.73 | $113.73 | $113.73 | |
BCBS
| Facility | $314.39 | $440.17 | $440.17 | |
BCBS
| Professional | $217.00 | $217.00 | $217.00 | |
Cigna
| Professional | $48.71 | $71.69 | $97.53 | |
Molina
| Professional | $32.34 | $32.34 | $42.40 | |
United
| Professional | $50.02 | $61.82 | $94.20 |