| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.33 | $15.41 | $175.68 | |
Aetna
| Professional | $6.34 | $9.17 | $28.56 | |
Ambetter
| Professional | $4.01 | $4.01 | $4.01 | |
BCBS
| Facility | $8.02 | $8.02 | $8.02 | |
BCBS
| Professional | $8.02 | $8.02 | $8.02 | |
Cigna
| Facility | $5.21 | $8.31 | $16.12 | |
Cigna
| Professional | $3.58 | $5.24 | $11.87 | |
United
| Professional | $2.00 | $4.01 | $8.61 |