| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.89 | $129.03 | $247.07 | |
Aetna
| Professional | $8.16 | $11.36 | $20.97 | |
Ambetter
| Professional | $5.17 | $5.17 | $7.23 | |
BCBS
| Facility | $12.31 | $12.31 | $12.31 | |
BCBS
| Professional | $12.31 | $12.31 | $12.31 | |
Cigna
| Facility | $6.71 | $10.69 | $20.51 | |
Cigna
| Professional | $4.76 | $6.75 | $14.97 | |
United
| Professional | $4.34 | $6.30 | $19.60 |