| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.81 | $57.77 | $396.95 | |
Aetna
| Professional | $20.39 | $28.39 | $49.56 | |
Ambetter
| Professional | $12.91 | $12.91 | $12.91 | |
BCBS
| Facility | $43.76 | $43.76 | $43.76 | |
BCBS
| Professional | $43.76 | $43.76 | $43.76 | |
Cigna
| Facility | $16.78 | $26.72 | $51.77 | |
Cigna
| Professional | $11.78 | $16.86 | $37.17 | |
United
| Professional | $10.84 | $15.49 | $48.94 |