| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.26 | $79.51 | $274.55 | |
Aetna
| Professional | $13.35 | $19.27 | $38.54 | |
Ambetter
| Professional | $15.06 | $15.06 | $15.06 | |
BCBS
| Facility | $40.81 | $54.09 | $65.50 | |
BCBS
| Professional | $10.84 | $10.84 | $15.66 | |
Cigna
| Facility | $12.50 | $19.89 | $63.16 | |
Cigna
| Professional | $11.48 | $13.31 | $34.59 | |
Medcost
| Facility | $14.96 | $18.07 | $35.32 | |
Medcost
| Professional | $24.60 | $25.86 | $33.00 | |
United
| Professional | $12.05 | $12.79 | $24.63 | |
Wellcare
| Facility | $59.02 | $114.43 | $114.43 |