| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.77 | $52.59 | $97.05 | |
Aetna
| Professional | $36.94 | $52.59 | $91.80 | |
Ambetter
| Professional | $23.91 | $23.91 | $23.91 | |
BCBS
| Facility | $49.33 | $49.33 | $49.33 | |
BCBS
| Professional | $49.33 | $49.33 | $49.33 | |
Cigna
| Facility | $31.08 | $49.48 | $81.08 | |
Cigna
| Professional | $23.05 | $32.27 | $68.66 | |
United
| Professional | $20.07 | $24.91 | $71.72 |