| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.05 | $44.08 | $230.70 | |
Aetna
| Professional | $16.86 | $26.50 | $46.25 | |
Ambetter
| Professional | $12.05 | $12.05 | $12.05 | |
BCBS
| Facility | $28.93 | $28.93 | $28.93 | |
BCBS
| Professional | $28.93 | $28.93 | $28.93 | |
Cigna
| Facility | $15.66 | $20.01 | $36.14 | |
Cigna
| Professional | $10.50 | $11.80 | $34.59 | |
United
| Professional | $10.11 | $12.79 | $37.71 |