| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.02 | $43.65 | $56.23 | |
Aetna
| Professional | $40.74 | $50.12 | $61.66 | |
Ambetter
| Professional | $61.66 | $61.66 | $61.66 | |
BCBS
| Facility | $61.66 | $64.57 | $64.57 | |
BCBS
| Professional | $66.07 | $66.07 | $66.07 | |
Cigna
| Professional | $48.98 | $64.57 | $85.11 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $48.98 | $58.88 | $81.28 |