| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.46 | $14.46 | $26.10 | |
Aetna
| Professional | $14.46 | $24.34 | $38.57 | |
Ambetter
| Professional | $42.59 | $42.59 | $42.59 | |
BCBS
| Facility | $188.93 | $188.93 | $188.93 | |
BCBS
| Professional | $40.00 | $40.00 | $40.00 | |
Cigna
| Professional | $34.52 | $34.52 | $34.52 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $31.80 | $38.22 | $50.29 |