| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.66 | $57.71 | $95.38 | |
Aetna
| Professional | $47.34 | $53.68 | $95.38 | |
Ambetter
| Professional | $58.72 | $112.33 | $112.33 | |
BCBS
| Facility | $101.17 | $141.65 | $141.65 | |
BCBS
| Professional | $60.00 | $60.00 | $60.00 | |
Cigna
| Professional | $46.28 | $67.53 | $91.53 | |
Molina
| Professional | $32.34 | $32.34 | $40.44 | |
United
| Professional | $47.35 | $58.53 | $92.72 |