| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.82 | $86.65 | $259.48 | |
Aetna
| Professional | $24.84 | $51.34 | $118.17 | |
Ambetter
| Professional | $21.88 | $21.88 | $30.63 | |
BCBS
| Professional | $27.00 | $27.00 | $27.00 | |
Cigna
| Professional | $24.77 | $60.94 | $107.30 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $62.48 | $82.25 | $132.30 |