| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.80 | $46.68 | $82.11 | |
Aetna
| Professional | $22.84 | $43.31 | $64.95 | |
Ambetter
| Professional | $39.34 | $54.60 | $76.42 | |
BCBS
| Professional | $75.00 | $75.00 | $75.00 | |
Cigna
| Professional | $26.00 | $46.41 | $55.00 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $39.84 | $50.40 | $86.22 |