| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.44 | $309.03 | $660.69 | |
Aetna
| Professional | $10.96 | $23.44 | $100.00 | |
Ambetter
| Professional | $10.23 | $14.13 | $46.77 | |
BCBS
| Professional | $14.13 | $14.13 | $14.13 | |
Cigna
| Professional | $12.59 | $45.71 | $70.79 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $11.48 | $41.69 | $74.13 |