| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $122.42 | $122.42 | $122.42 | |
Aetna
| Professional | $99.11 | $122.42 | $122.42 | |
Ambetter
| Professional | $65.03 | $65.03 | $76.50 | |
BCBS
| Professional | $45.00 | $45.00 | $45.00 | |
Cigna
| Professional | $9.85 | $9.85 | $9.85 | |
Molina
| Professional | $17.00 | $25.00 | $50.00 |