| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.15 | $83.03 | $149.46 | |
Aetna
| Professional | $59.58 | $80.09 | $134.36 | |
Ambetter
| Professional | $57.19 | $57.19 | $57.19 | |
BCBS
| Professional | $126.00 | $126.00 | $126.00 | |
Cigna
| Professional | $53.00 | $84.00 | $107.07 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $72.11 | $89.72 | $150.86 |