| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.79 | $91.20 | $776.25 | |
Aetna
| Professional | $42.66 | $57.54 | $89.13 | |
Ambetter
| Professional | $43.65 | $43.65 | $43.65 | |
BCBS
| Facility | $81.28 | $81.28 | $112.20 | |
BCBS
| Professional | $64.57 | $107.15 | $107.15 | |
Cigna
| Facility | $46.77 | $107.15 | $134.90 | |
Cigna
| Professional | $29.51 | $64.57 | $104.71 | |
United
| Facility | $64.57 | $64.57 | $72.44 | |
United
| Professional | $30.20 | $43.65 | $72.44 |