| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.51 | $78.50 | $106.70 | |
Aetna
| Professional | $61.24 | $86.34 | $133.87 | |
Ambetter
| Professional | $84.00 | $110.93 | $134.00 | |
BCBS
| Facility | $90.54 | $92.13 | $92.13 | |
BCBS
| Professional | $94.98 | $103.09 | $103.09 | |
Cigna
| Professional | $68.97 | $97.16 | $132.85 | |
Molina
| Professional | $25.00 | $60.09 | $84.66 | |
United
| Professional | $84.27 | $98.65 | $136.02 |