| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.29 | $51.29 | $51.29 | |
Aetna
| Professional | $69.18 | $102.33 | $218.78 | |
Ambetter
| Professional | $114.82 | $114.82 | $144.54 | |
BCBS
| Facility | $141.25 | $165.96 | $223.87 | |
BCBS
| Professional | $61.66 | $89.13 | $97.72 | |
Cigna
| Facility | $93.33 | $97.72 | $102.33 | |
Cigna
| Professional | $69.18 | $109.65 | $234.42 | |
United
| Facility | $33.11 | $44.67 | $91.20 | |
United
| Professional | $69.18 | $87.10 | $144.54 |