| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.81 | $38.08 | $74.40 | |
Aetna
| Professional | $16.44 | $22.89 | $39.96 | |
Ambetter
| Professional | $10.41 | $10.41 | $10.41 | |
BCBS
| Facility | $30.69 | $30.69 | $30.69 | |
BCBS
| Professional | $30.69 | $30.69 | $30.69 | |
Cigna
| Facility | $13.53 | $21.56 | $41.51 | |
Cigna
| Professional | $9.53 | $13.59 | $29.94 | |
United
| Professional | $8.74 | $12.49 | $39.47 |