| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.05 | $284.39 | $652.00 | |
Aetna
| Professional | $19.00 | $24.84 | $42.05 | |
Ambetter
| Professional | $17.01 | $76.31 | $109.22 | |
BCBS
| Facility | $11.01 | $13.37 | $17.98 | |
BCBS
| Professional | $20.86 | $21.96 | $30.65 | |
Cigna
| Facility | $28.55 | $30.20 | $124.26 | |
Cigna
| Professional | $17.92 | $32.22 | $58.85 | |
United
| Professional | $17.64 | $19.86 | $46.14 |