| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.18 | $83.18 | $83.18 | |
Aetna
| Professional | $57.54 | $83.18 | $125.89 | |
Ambetter
| Professional | $30.20 | $30.20 | $30.20 | |
BCBS
| Facility | $70.79 | $70.79 | $79.43 | |
BCBS
| Professional | $67.61 | $67.61 | $67.61 | |
Cigna
| Professional | $229.09 | $229.09 | $263.03 | |
Molina
| Professional | $19.95 | $25.12 | $58.88 | |
United
| Professional | $128.82 | $151.36 | $208.93 |