| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.95 | $100.06 | $128.59 | |
Aetna
| Professional | $78.84 | $108.86 | $166.00 | |
Ambetter
| Professional | $106.70 | $133.10 | $163.00 | |
BCBS
| Facility | $92.19 | $92.19 | $92.19 | |
BCBS
| Professional | $114.43 | $124.12 | $124.12 | |
Cigna
| Professional | $88.22 | $117.43 | $161.96 | |
Molina
| Professional | $25.00 | $76.81 | $101.14 | |
United
| Professional | $102.40 | $119.27 | $164.59 |