| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.29 | $78.80 | $104.62 | |
Aetna
| Facility | 25 | $104.62 | $104.62 | $104.62 |
Aetna
| Professional | $52.95 | $72.53 | $92.70 | |
Ambetter
| Professional | $72.30 | $101.22 | $180.75 | |
BCBS
| Facility | $92.04 | $92.04 | $92.04 | |
BCBS
| Professional | $72.51 | $72.51 | $78.78 | |
Cigna
| Professional | $60.38 | $76.22 | $112.25 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $61.88 | $69.16 | $94.89 |