| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.13 | $93.34 | $168.02 | |
Aetna
| Professional | $67.72 | $88.30 | $147.18 | |
Ambetter
| Professional | $78.18 | $81.44 | $177.53 | |
BCBS
| Professional | $117.00 | $117.00 | $117.00 | |
Cigna
| Professional | $60.00 | $91.00 | $116.94 | |
Molina
| Professional | $32.34 | $32.34 | $64.92 | |
United
| Professional | $78.23 | $97.86 | $160.02 |