| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.51 | $78.50 | $107.03 | |
Aetna
| Professional | $60.57 | $86.59 | $113.84 | |
Ambetter
| Professional | $110.93 | $120.00 | $149.15 | |
BCBS
| Facility | $90.54 | $92.15 | $92.15 | |
BCBS
| Professional | $95.61 | $103.75 | $103.75 | |
Cigna
| Professional | $68.97 | $97.35 | $137.16 | |
Molina
| Professional | $25.00 | $60.09 | $84.91 | |
United
| Professional | $85.79 | $99.45 | $137.24 |