| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.70 | $56.47 | $307.93 | |
Aetna
| Professional | $24.38 | $33.95 | $59.25 | |
Ambetter
| Professional | $15.43 | $15.43 | $15.43 | |
BCBS
| Facility | $42.59 | $42.59 | $42.59 | |
BCBS
| Professional | $42.59 | $42.59 | $42.59 | |
Cigna
| Facility | $20.05 | $25.44 | $46.71 | |
Cigna
| Professional | $13.48 | $14.99 | $44.40 | |
United
| Professional | $12.96 | $16.25 | $47.92 |