| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.88 | $39.81 | $44.67 | |
Aetna
| Professional | $15.85 | $19.95 | $39.81 | |
Ambetter
| Professional | $10.96 | $10.96 | $10.96 | |
BCBS
| Facility | $33.11 | $33.11 | $33.11 | |
BCBS
| Professional | $33.11 | $33.11 | $33.11 | |
Cigna
| Facility | $14.79 | $19.50 | $35.48 | |
Cigna
| Professional | $9.55 | $10.47 | $31.62 | |
United
| Facility | $19.50 | $19.50 | $26.30 | |
United
| Professional | $9.12 | $13.18 | $54.95 |