| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.01 | $91.48 | $119.68 | |
Aetna
| Professional | $70.04 | $99.42 | $155.69 | |
Ambetter
| Professional | $98.25 | $125.02 | $215.83 | |
BCBS
| Facility | $92.09 | $92.09 | $92.09 | |
BCBS
| Professional | $106.08 | $115.19 | $115.19 | |
Cigna
| Professional | $77.73 | $107.76 | $153.03 | |
Molina
| Professional | $25.00 | $70.73 | $94.99 | |
United
| Professional | $95.89 | $111.94 | $154.47 |