| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.14 | $113.72 | $393.59 | |
Aetna
| Professional | $49.09 | $66.23 | $125.00 | |
Ambetter
| Professional | $31.07 | $31.07 | $31.07 | |
BCBS
| Facility | $81.09 | $81.09 | $81.09 | |
BCBS
| Professional | $81.09 | $81.09 | $81.09 | |
Cigna
| Facility | $40.39 | $42.41 | $60.23 | |
Cigna
| Professional | $28.33 | $38.04 | $89.31 | |
United
| Professional | $26.10 | $37.28 | $110.36 |