| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.95 | $71.95 | $97.89 | |
Aetna
| Professional | $70.04 | $99.01 | $133.10 | |
Ambetter
| Professional | $90.31 | $132.81 | $209.23 | |
BCBS
| Facility | $92.43 | $92.43 | $92.43 | |
BCBS
| Professional | $112.79 | $122.03 | $122.03 | |
Cigna
| Professional | $78.42 | $111.37 | $156.82 | |
Molina
| Professional | $25.00 | $68.34 | $96.30 | |
United
| Professional | $95.98 | $114.79 | $159.46 |