| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.36 | $151.36 | $151.36 | |
Aetna
| Professional | $151.36 | $169.82 | $218.78 | |
Ambetter
| Professional | $181.97 | $190.55 | $213.80 | |
BCBS
| Professional | $112.20 | $112.20 | $112.20 | |
Cigna
| Professional | $44.67 | $44.67 | $44.67 | |
Molina
| Professional | $177.83 | $177.83 | $177.83 | |
United
| Professional | $162.18 | $162.18 | $245.47 |