| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.11 | $85.11 | $112.20 | |
Aetna
| Professional | $85.11 | $131.83 | $269.15 | |
Ambetter
| Professional | $109.65 | $131.83 | $173.78 | |
BCBS
| Facility | $93.33 | $93.33 | $93.33 | |
BCBS
| Professional | $120.23 | $120.23 | $138.04 | |
Cigna
| Professional | $95.50 | $128.82 | $194.98 | |
Molina
| Professional | $21.38 | $42.66 | $97.72 | |
United
| Professional | $85.11 | $117.49 | $165.96 |