| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $118.20 | $144.97 | $256.23 | |
Aetna
| Professional | $102.32 | $133.02 | $217.11 | |
Ambetter
| Professional | $278.98 | $278.98 | $278.98 | |
BCBS
| Professional | $155.00 | $155.00 | $155.00 | |
Cigna
| Professional | $92.15 | $133.00 | $193.21 | |
Molina
| Professional | $32.34 | $32.34 | $103.45 | |
United
| Professional | $116.52 | $147.41 | $241.13 |