| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.54 | $173.78 | $199.53 | |
Aetna
| Professional | $128.82 | $173.78 | $263.03 | |
Ambetter
| Professional | $138.04 | $165.96 | $229.09 | |
BCBS
| Facility | $93.33 | $93.33 | $93.33 | |
BCBS
| Professional | $169.82 | $169.82 | $190.55 | |
Cigna
| Professional | $162.18 | $213.80 | $288.40 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $165.96 | $194.98 | $263.03 |