| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.51 | $78.50 | $111.18 | |
Aetna
| Professional | $60.57 | $90.13 | $120.00 | |
Ambetter
| Professional | $97.79 | $136.30 | $195.00 | |
BCBS
| Facility | $90.54 | $91.57 | $91.57 | |
BCBS
| Professional | $120.13 | $131.19 | $131.19 | |
Cigna
| Professional | $68.97 | $102.20 | $144.87 | |
Molina
| Professional | $25.00 | $60.09 | $88.42 | |
United
| Professional | $89.45 | $103.53 | $141.53 |