| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $98.49 | $99.96 | $120.55 | |
Aetna
| Professional | $52.94 | $79.59 | $110.00 | |
Ambetter
| Professional | $55.46 | $55.46 | $55.46 | |
BCBS
| Facility | $27.36 | $27.36 | $29.77 | |
BCBS
| Professional | $78.88 | $104.40 | $116.00 | |
Cigna
| Facility | $25.93 | $57.69 | $86.16 | |
Cigna
| Professional | $62.63 | $104.77 | $142.19 | |
United
| Professional | $72.11 | $88.04 | $136.16 |