| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.44 | $72.44 | $72.44 | |
Aetna
| Professional | $72.44 | $100.00 | $120.23 | |
Ambetter
| Professional | $112.20 | $112.20 | $112.20 | |
BCBS
| Facility | $131.83 | $131.83 | $131.83 | |
BCBS
| Professional | $151.36 | $151.36 | $151.36 | |
Cigna
| Professional | $93.33 | $93.33 | $93.33 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $87.10 | $112.20 | $173.78 |