| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.08 | $130.08 | $130.08 | |
Aetna
| Professional | $118.13 | $130.08 | $130.79 | |
Ambetter
| Professional | $55.59 | $55.59 | $76.50 | |
BCBS
| Professional | $45.00 | $45.00 | $45.00 | |
Cigna
| Professional | $13.17 | $13.17 | $13.17 | |
Molina
| Professional | $17.00 | $25.00 | $50.00 |