| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.00 | $19.00 | $34.95 | |
Aetna
| Professional | $19.00 | $31.71 | $38.07 | |
Ambetter
| Professional | $36.25 | $36.25 | $36.25 | |
Anthem BCBS
| Professional | $21.57 | $31.20 | $36.79 | |
Cigna
| Facility | $26.71 | $26.71 | $26.71 | |
Cigna
| Professional | $21.65 | $34.52 | $52.58 | |
Molina
| Professional | $32.34 | $32.34 | $113.00 | |
United
| Professional | $32.26 | $38.50 | $59.95 |