| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $115.59 | $131.00 | $223.31 | |
Aetna
| Professional | $97.34 | $124.60 | $202.28 | |
Ambetter
| Professional | $95.47 | $296.60 | $296.60 | |
BCBS
| Professional | $149.00 | $149.00 | $149.00 | |
Cigna
| Professional | $87.00 | $134.00 | $167.69 | |
Molina
| Professional | $32.34 | $32.34 | $89.78 | |
United
| Professional | $116.09 | $143.24 | $235.81 |