| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $106.49 | $106.49 | $135.54 | |
Aetna
| Professional | $99.23 | $136.93 | $178.18 | |
Ambetter
| Professional | $155.15 | $182.53 | $182.53 | |
BCBS
| Facility | $92.46 | $92.46 | $92.46 | |
BCBS
| Professional | $155.21 | $167.87 | $167.87 | |
Cigna
| Professional | $116.49 | $153.99 | $214.03 | |
Molina
| Professional | $25.00 | $91.27 | $132.06 | |
United
| Professional | $132.83 | $157.68 | $214.40 |