| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.91 | $44.67 | $112.20 | |
Aetna
| Professional | $44.67 | $45.71 | $89.13 | |
Ambetter
| Professional | $15.14 | $18.62 | $41.69 | |
BCBS
| Facility | $23.99 | $35.48 | $53.70 | |
BCBS
| Professional | $36.31 | $38.02 | $64.57 | |
Cigna
| Facility | $22.91 | $87.10 | $199.53 | |
Cigna
| Professional | $16.98 | $17.78 | $51.29 | |
Medcost
| Facility | $35.48 | $42.66 | $77.62 | |
Medcost
| Professional | $35.48 | $35.48 | $35.48 | |
United
| Facility | $31.62 | $42.66 | $45.71 | |
United
| Professional | $17.78 | $24.55 | $47.86 |