| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.91 | $37.15 | $69.18 | |
Aetna
| Professional | 25 | $85.11 | $85.11 | $85.11 |
Ambetter
| Professional | $41.69 | $51.29 | $60.26 | |
Ambetter
| Professional | 25 | $36.31 | $50.12 | $51.29 |
BCBS
| Professional | $45.71 | $45.71 | $45.71 | |
Cigna
| Professional | $33.11 | $47.86 | $70.79 | |
Medcost
| Facility | $25.70 | $42.66 | $67.61 | |
Molina
| Professional | $32.36 | $33.11 | $33.11 | |
United
| Professional | $30.20 | $44.67 | $69.18 |