| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.67 | $53.70 | $190.55 | |
Aetna
| Professional | 25 | $89.13 | $89.13 | $89.13 |
Ambetter
| Professional | $23.44 | $31.62 | $54.95 | |
BCBS
| Professional | $3.02 | $34.67 | $48.98 | |
Cigna
| Professional | $51.29 | $61.66 | $91.20 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $36.31 | $51.29 | $69.18 |