| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.72 | $30.73 | $72.63 | |
Aetna
| Professional | $21.56 | $34.39 | $51.84 | |
Ambetter
| Professional | $43.89 | $51.77 | $66.48 | |
BCBS
| Facility | $136.44 | $136.44 | $136.44 | |
BCBS
| Professional | $41.03 | $55.17 | $78.81 | |
Cigna
| Facility | $57.70 | $57.70 | $57.70 | |
Cigna
| Professional | $35.79 | $60.94 | $94.08 | |
Hally Health
| Professional | $39.11 | $58.17 | $145.34 | |
Molina
| Professional | $32.34 | $53.05 | $81.44 | |
United
| Professional | $40.61 | $57.88 | $87.31 |