| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.04 | $57.74 | $141.36 | |
Aetna
| Professional | 25 | $90.00 | $90.00 | $90.00 |
Ambetter
| Professional | $40.89 | $40.89 | $56.30 | |
BCBS
| Professional | $3.00 | $11.28 | $51.41 | |
Cigna
| Professional | $51.39 | $61.17 | $90.86 | |
Molina
| Professional | $30.34 | $35.70 | $42.05 | |
United
| Professional | $35.92 | $54.36 | $69.13 |