| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.89 | $175.49 | $300.14 | |
Aetna
| Professional | $8.15 | $11.87 | $19.80 | |
Ambetter
| Professional | $5.16 | $5.16 | $5.16 | |
BCBS
| Facility | $17.69 | $17.69 | $17.69 | |
BCBS
| Professional | $17.69 | $17.69 | $17.69 | |
Cigna
| Facility | $6.71 | $10.68 | $20.51 | |
Cigna
| Professional | $4.76 | $6.74 | $14.97 | |
United
| Professional | $4.33 | $6.19 | $19.57 |