| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.23 | $61.66 | $79.43 | |
Aetna
| Professional | $61.66 | $70.79 | $85.11 | |
Ambetter
| Professional | $66.07 | $79.43 | $100.00 | |
BCBS
| Facility | $87.10 | $87.10 | $87.10 | |
BCBS
| Professional | $87.10 | $87.10 | $87.10 | |
Cigna
| Professional | $72.44 | $87.10 | $117.49 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $70.79 | $87.10 | $117.49 |