| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.77 | $124.46 | $153.69 | |
Ambetter
| Professional | $274.04 | $274.04 | $322.39 | |
BCBS
| Professional | $198.07 | $212.82 | $212.82 | |
Cigna
| Professional | $126.07 | $161.27 | $244.64 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $124.08 | $158.61 | $198.14 |