| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $123.98 | $182.59 | $235.15 | |
Ambetter
| Professional | $90.20 | $90.20 | $90.20 | |
BCBS
| Professional | $86.05 | $123.48 | $174.90 | |
Cigna
| Professional | $130.91 | $203.80 | $252.89 | |
Molina
| Professional | $32.34 | $32.34 | $175.50 | |
Providence
| Professional | $141.29 | $214.85 | $356.70 | |
United
| Professional | $147.25 | $217.24 | $303.60 |