| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.11 | $109.75 | $143.54 | |
Ambetter
| Professional | $111.45 | $111.45 | $204.06 | |
BCBS
| Professional | $80.00 | $117.00 | $117.00 | |
Cigna
| Professional | $88.00 | $119.00 | $190.03 | |
Medcost
| Facility | $97.64 | $127.49 | $190.24 | |
Molina
| Professional | $109.89 | $149.95 | $235.63 | |
United
| Professional | $104.13 | $128.08 | $202.44 |