| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.59 | $36.29 | $56.98 | |
Aetna
| Professional | 25 | $85.57 | $85.57 | $85.57 |
Ambetter
| Professional | $43.26 | $68.70 | $77.43 | |
BCBS
| Professional | $45.79 | $45.79 | $45.79 | |
Cigna
| Professional | $32.77 | $47.84 | $71.23 | |
Medcost
| Facility | $24.76 | $39.02 | $65.61 | |
Molina
| Professional | $53.37 | $72.92 | $112.48 | |
United
| Professional | $39.36 | $50.24 | $89.20 |