| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.66 | $91.20 | $141.25 | |
Aetna
| Professional | $54.95 | $93.33 | $141.25 | |
Ambetter
| Professional | $69.18 | $69.18 | $69.18 | |
BCBS
| Facility | $87.10 | $91.20 | $91.20 | |
BCBS
| Professional | $74.13 | $74.13 | $81.28 | |
Cigna
| Professional | $66.07 | $85.11 | $117.49 | |
Molina
| Professional | $21.38 | $25.12 | $87.10 | |
United
| Professional | $64.57 | $75.86 | $100.00 |