| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $145.36 | $177.04 | $217.25 | |
Aetna
| Professional | $131.83 | $174.00 | $235.19 | |
Ambetter
| Professional | $158.47 | $229.79 | $396.20 | |
BCBS
| Facility | $92.93 | $92.93 | $92.93 | |
BCBS
| Professional | $181.02 | $181.02 | $194.79 | |
Cigna
| Professional | $160.99 | $210.45 | $282.36 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $169.78 | $193.07 | $264.89 |