| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.43 | $83.18 | $660.69 | |
Aetna
| Professional | $47.86 | $52.48 | $83.18 | |
Ambetter
| Professional | $38.90 | $44.67 | $44.67 | |
BCBS
| Facility | $58.88 | $70.79 | $95.50 | |
BCBS
| Professional | $48.98 | $50.12 | $60.26 | |
Cigna
| Facility | $45.71 | $58.88 | $154.88 | |
Cigna
| Professional | $26.92 | $42.66 | $83.18 | |
United
| Facility | $30.20 | $64.57 | $72.44 | |
United
| Professional | $30.20 | $36.31 | $72.44 |