| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $98.98 | $139.59 | $196.91 | |
Aetna
| Professional | $93.82 | $128.75 | $168.75 | |
Ambetter
| Professional | $118.78 | $163.76 | $296.95 | |
BCBS
| Facility | $91.97 | $91.97 | $91.97 | |
BCBS
| Professional | $128.76 | $128.76 | $140.00 | |
Cigna
| Professional | $110.05 | $144.18 | $209.24 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $117.97 | $131.08 | $178.91 |