| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.20 | $91.20 | $185.34 | |
Aetna
| Professional | $12.54 | $14.75 | $22.50 | |
Ambetter
| Professional | $14.75 | $18.44 | $23.31 | |
BCBS
| Facility | $14.75 | $14.75 | $14.75 | |
BCBS
| Professional | $14.75 | $14.75 | $14.75 | |
Cigna
| Professional | $14.28 | $14.28 | $14.28 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $15.70 | $17.80 | $24.26 |