| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.13 | $14.13 | $15.14 | |
Aetna
| Professional | $14.13 | $19.95 | $25.12 | |
Ambetter
| Professional | $15.49 | $15.49 | $15.49 | |
BCBS
| Facility | $18.20 | $18.20 | $18.20 | |
BCBS
| Professional | $18.20 | $18.20 | $18.20 | |
Cigna
| Professional | $15.14 | $15.14 | $15.14 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Facility | $12.30 | $12.30 | $13.49 | |
United
| Professional | $12.30 | $15.85 | $23.99 |