| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.90 | $100.90 | $111.74 | |
Aetna
| Professional | $78.14 | $99.24 | $158.91 | |
Ambetter
| Professional | $95.18 | $95.18 | $95.18 | |
BCBS
| Professional | $112.00 | $112.00 | $112.00 | |
Cigna
| Professional | $65.00 | $95.07 | $140.49 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $75.11 | $99.98 | $167.69 |