| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.95 | $58.88 | $77.62 | |
Aetna
| Professional | $46.77 | $60.26 | $79.43 | |
Ambetter
| Professional | $61.66 | $61.66 | $61.66 | |
BCBS
| Professional | $60.26 | $60.26 | $70.79 | |
Cigna
| Professional | $56.23 | $69.18 | $109.65 | |
Molina
| Professional | $19.95 | $25.12 | $50.12 | |
United
| Professional | $53.70 | $66.07 | $89.13 |