| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.11 | $95.50 | $112.20 | |
Aetna
| Professional | $69.18 | $93.33 | $426.58 | |
Ambetter
| Professional | $52.48 | $77.62 | $95.50 | |
BCBS
| Professional | $102.33 | $102.33 | $107.15 | |
Cigna
| Professional | $72.44 | $102.33 | $134.90 | |
Medcost
| Facility | $75.86 | $104.71 | $144.54 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $77.62 | $100.00 | $151.36 |