| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.84 | $83.84 | $116.21 | |
Aetna
| Professional | $67.84 | $94.62 | $137.76 | |
Ambetter
| Professional | $102.19 | $104.23 | $140.00 | |
BCBS
| Facility | $92.71 | $92.71 | $92.71 | |
BCBS
| Professional | $112.79 | $121.66 | $121.66 | |
Cigna
| Professional | $75.88 | $107.97 | $152.01 | |
Molina
| Professional | $25.00 | $64.44 | $92.60 | |
United
| Professional | $94.70 | $112.45 | $148.44 |