| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.05 | $34.67 | $141.25 | |
Aetna
| Professional | $12.88 | $16.98 | $23.99 | |
Ambetter
| Professional | $14.13 | $14.13 | $14.13 | |
BCBS
| Professional | $26.92 | $26.92 | $26.92 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $12.88 | $23.44 | $42.66 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Facility | $19.50 | $19.50 | $19.50 | |
United
| Professional | $19.05 | $21.88 | $38.02 |