| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.03 | $79.41 | $146.55 | |
Aetna
| Professional | $57.03 | $79.41 | $138.60 | |
Ambetter
| Professional | $36.10 | $36.10 | $36.10 | |
BCBS
| Facility | $85.50 | $85.50 | $85.50 | |
BCBS
| Professional | $85.50 | $85.50 | $85.50 | |
Cigna
| Facility | $46.92 | $49.27 | $54.76 | |
Cigna
| Professional | $31.35 | $67.61 | $103.77 | |
United
| Professional | $30.32 | $39.70 | $123.23 |