| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.19 | $62.57 | $69.41 | |
Aetna
| Professional | $27.01 | $37.61 | $65.64 | |
Ambetter
| Professional | $17.10 | $17.10 | $17.10 | |
BCBS
| Facility | $45.60 | $45.60 | $45.60 | |
BCBS
| Professional | $45.60 | $45.60 | $45.60 | |
Cigna
| Facility | $22.22 | $32.65 | $63.01 | |
Cigna
| Professional | $15.21 | $18.71 | $49.04 | |
United
| Professional | $14.36 | $20.51 | $59.85 |