| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.45 | $220.48 | $611.52 | |
Aetna
| Professional | $8.33 | $11.84 | $29.00 | |
Ambetter
| Professional | $5.28 | $5.28 | $7.39 | |
BCBS
| Facility | $16.03 | $16.03 | $16.03 | |
BCBS
| Professional | $16.03 | $16.03 | $16.03 | |
Cigna
| Facility | $6.86 | $10.94 | $21.00 | |
Cigna
| Professional | $4.76 | $7.05 | $15.49 | |
United
| Professional | $4.44 | $6.34 | $20.04 |