| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.99 | $57.13 | $74.95 | |
Aetna
| Professional | $30.91 | $43.54 | $60.17 | |
Aetna
| Professional | 25 | $57.98 | $57.98 | $57.98 |
Ambetter
| Professional | $56.16 | $56.88 | $75.81 | |
BCBS
| Facility | $37.04 | $37.04 | $40.76 | |
BCBS
| Professional | $71.41 | $76.33 | $76.33 | |
Cigna
| Professional | $32.21 | $42.90 | $68.73 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $37.88 | $40.89 | $56.15 |