| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.20 | $91.20 | $91.20 | |
Aetna
| Professional | $93.33 | $120.23 | $218.78 | |
Ambetter
| Professional | $102.33 | $102.33 | $275.42 | |
BCBS
| Professional | $147.91 | $165.96 | $165.96 | |
Cigna
| Professional | $107.15 | $138.04 | $213.80 | |
Molina
| Professional | $32.36 | $33.11 | $33.11 | |
United
| Professional | $102.33 | $134.90 | $165.96 |