| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $100.00 | $100.00 | |
Aetna
| Professional | $102.33 | $123.03 | $165.96 | |
Ambetter
| Professional | $114.82 | $114.82 | $302.00 | |
BCBS
| Professional | $162.18 | $181.97 | $181.97 | |
Cigna
| Professional | $117.49 | $154.88 | $234.42 | |
Molina
| Professional | $32.36 | $33.11 | $33.11 | |
United
| Professional | $112.20 | $147.91 | $181.97 |