| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $123.77 | $167.28 | $416.69 | |
Ambetter
| Professional | $104.34 | $119.59 | $241.74 | |
BCBS
| Professional | $187.00 | $187.00 | $187.00 | |
Cigna
| Professional | $124.90 | $168.64 | $222.81 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $112.58 | $142.55 | $213.85 |