| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.10 | $87.10 | $87.10 | |
Aetna
| Professional | $87.10 | $87.10 | $398.11 | |
Ambetter
| Professional | $79.43 | $79.43 | $79.43 | |
BCBS
| Facility | $43.65 | $43.65 | $48.98 | |
BCBS
| Professional | $41.69 | $41.69 | $41.69 | |
Cigna
| Professional | $257.04 | $257.04 | $295.12 | |
Molina
| Professional | $19.95 | $25.12 | $58.88 | |
United
| Professional | $151.36 | $173.78 | $239.88 |