| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.79 | $70.79 | $93.33 | |
Aetna
| Professional | $70.79 | $109.65 | $234.42 | |
Ambetter
| Professional | $93.33 | $114.82 | $151.36 | |
BCBS
| Facility | $91.20 | $91.20 | $91.20 | |
BCBS
| Professional | $102.33 | $102.33 | $114.82 | |
Cigna
| Professional | $77.62 | $109.65 | $165.96 | |
Molina
| Professional | $21.38 | $44.67 | $117.49 | |
United
| Professional | $72.44 | $100.00 | $144.54 |