| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.52 | $87.52 | $147.33 | |
Aetna
| Professional | $75.55 | $85.31 | $147.33 | |
Ambetter
| Professional | $88.66 | $88.66 | $95.33 | |
BCBS
| Professional | $87.00 | $87.00 | $87.00 | |
Cigna
| Professional | $73.43 | $97.30 | $118.50 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $65.88 | $89.89 | $149.06 |