| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.87 | $114.31 | $154.31 | |
Aetna
| Professional | $58.78 | $87.59 | $120.02 | |
Ambetter
| Professional | $101.30 | $101.30 | $101.30 | |
BCBS
| Facility | $135.69 | $164.27 | $220.99 | |
BCBS
| Professional | $64.50 | $88.36 | $104.26 | |
Cigna
| Facility | $96.32 | $101.14 | $3,138.00 | |
Cigna
| Professional | $69.30 | $108.58 | $256.58 | |
United
| Professional | $69.90 | $86.63 | $131.06 |