| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $113.08 | $124.50 | $352.10 | |
Aetna
| Professional | $68.92 | $96.12 | $127.51 | |
Ambetter
| Professional | $64.93 | $131.75 | $131.75 | |
BCBS
| Facility | $39.77 | $39.77 | $43.27 | |
BCBS
| Professional | $90.98 | $120.42 | $133.80 | |
Cigna
| Facility | $56.36 | $88.48 | $145.65 | |
Cigna
| Professional | $73.79 | $125.86 | $179.24 | |
Qualchoice
| Professional | $151.51 | $151.51 | $151.51 | |
United
| Professional | $84.12 | $102.80 | $167.40 |