| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.70 | $87.10 | $223.87 | |
Aetna
| Professional | $22.91 | $52.48 | $91.20 | |
Ambetter
| Professional | $36.31 | $36.31 | $36.31 | |
BCBS
| Professional | $26.92 | $26.92 | $26.92 | |
Cigna
| Professional | $24.55 | $58.88 | $107.15 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $21.88 | $60.26 | $112.20 |