| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.09 | $64.20 | $71.23 | |
Aetna
| Professional | $27.72 | $40.99 | $71.23 | |
Ambetter
| Professional | $17.55 | $17.55 | $17.55 | |
BCBS
| Facility | $48.43 | $48.43 | $48.43 | |
BCBS
| Professional | $48.43 | $48.43 | $48.43 | |
Cigna
| Facility | $21.42 | $26.62 | $71.42 | |
Cigna
| Professional | $15.96 | $37.36 | $70.18 | |
United
| Professional | $14.74 | $21.05 | $71.89 |