| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.30 | $26.30 | $79.43 | |
Aetna
| Professional | $48.98 | $79.43 | $177.83 | |
Ambetter
| Professional | $42.66 | $44.67 | $70.79 | |
BCBS
| Facility | $141.25 | $165.96 | $223.87 | |
BCBS
| Professional | $43.65 | $61.66 | $67.61 | |
Cigna
| Facility | $58.88 | $61.66 | $125.89 | |
Cigna
| Professional | $48.98 | $79.43 | $162.18 | |
United
| Facility | $21.88 | $37.15 | $74.13 | |
United
| Professional | $47.86 | $61.66 | $102.33 |