| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.51 | $126.51 | $139.35 | |
Aetna
| Professional | $92.07 | $116.56 | $193.71 | |
Ambetter
| Professional | $106.08 | $114.06 | $255.75 | |
BCBS
| Professional | $117.00 | $117.00 | $117.00 | |
Cigna
| Professional | $81.00 | $119.00 | $153.44 | |
Molina
| Professional | $32.34 | $32.34 | $92.47 | |
United
| Professional | $103.68 | $128.51 | $230.76 |