| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.69 | $51.29 | $67.61 | |
Aetna
| Professional | $38.90 | $51.29 | $64.57 | |
Ambetter
| Professional | $54.95 | $63.10 | $66.07 | |
Ambetter
| Professional | 25 | $66.07 | $66.07 | $66.07 |
BCBS
| Facility | $104.71 | $104.71 | $125.89 | |
BCBS
| Professional | $56.23 | $56.23 | $66.07 | |
Cigna
| Professional | $48.98 | $66.07 | $87.10 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Facility | $114.82 | $181.97 | $263.03 | |
United
| Professional | $47.86 | $60.26 | $83.18 |