| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.18 | $114.82 | $194.98 | |
Aetna
| Professional | $67.61 | $93.33 | $154.88 | |
Ambetter
| Professional | $70.79 | $74.13 | $95.50 | |
BCBS
| Professional | $147.91 | $147.91 | $147.91 | |
Cigna
| Professional | $67.61 | $102.33 | $131.83 | |
Molina
| Professional | $32.36 | $33.11 | $33.11 | |
United
| Professional | $75.86 | $102.33 | $162.18 |