| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.45 | $15.45 | $140.00 | |
Aetna
| Professional | $15.45 | $19.00 | $24.60 | |
Ambetter
| Professional | $22.61 | $22.61 | $22.61 | |
BCBS
| Professional | $15.28 | $15.28 | $15.28 | |
Cigna
| Professional | $19.00 | $20.00 | $25.20 | |
Molina
| Professional | $18.17 | $25.00 | $50.00 | |
United
| Professional | $30.10 | $39.46 | $61.13 |