| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.54 | $77.62 | $117.49 | |
Aetna
| Professional | $66.07 | $87.10 | $537.03 | |
Ambetter
| Professional | $69.18 | $81.28 | $112.20 | |
BCBS
| Facility | $371.54 | $371.54 | $371.54 | |
BCBS
| Professional | $63.10 | $93.33 | $141.25 | |
Cigna
| Facility | $125.89 | $125.89 | $125.89 | |
Cigna
| Professional | $66.07 | $91.20 | $131.83 | |
Hally Health
| Professional | $69.18 | $107.15 | $223.87 | |
Molina
| Professional | $32.36 | $33.11 | $33.11 | |
United
| Professional | $77.62 | $102.33 | $165.96 |