| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.44 | $48.88 | $116.20 | |
Aetna
| Professional | $19.02 | $26.49 | $48.88 | |
Ambetter
| Professional | $12.04 | $12.04 | $12.04 | |
BCBS
| Facility | $31.80 | $31.80 | $31.80 | |
BCBS
| Professional | $31.80 | $31.80 | $31.80 | |
Cigna
| Facility | $15.65 | $24.92 | $49.02 | |
Cigna
| Professional | $11.04 | $15.73 | $34.59 | |
United
| Professional | $10.11 | $15.65 | $45.66 |