| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.54 | $72.44 | $151.36 | |
Aetna
| Professional | $53.70 | $67.61 | $131.83 | |
Ambetter
| Professional | $32.36 | $43.65 | $44.67 | |
BCBS
| Facility | $85.11 | $85.11 | $85.11 | |
BCBS
| Professional | $81.28 | $81.28 | $81.28 | |
Cigna
| Facility | $46.77 | $48.98 | $54.95 | |
Cigna
| Professional | $29.51 | $48.98 | $104.71 | |
United
| Facility | $64.57 | $64.57 | $87.10 | |
United
| Professional | $30.20 | $39.81 | $162.18 |