| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.99 | $43.65 | $123.03 | |
Aetna
| Professional | $18.20 | $21.88 | $43.65 | |
Ambetter
| Professional | $14.45 | $14.45 | $15.14 | |
BCBS
| Facility | $28.18 | $28.18 | $28.18 | |
BCBS
| Professional | $26.92 | $26.92 | $26.92 | |
Cigna
| Facility | $16.60 | $20.42 | $36.31 | |
Cigna
| Professional | $10.47 | $10.96 | $35.48 | |
United
| Facility | $21.88 | $21.88 | $28.84 | |
United
| Professional | $10.23 | $13.18 | $56.23 |