| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.79 | $74.13 | $154.88 | |
Aetna
| Professional | $70.79 | $72.44 | $112.20 | |
Ambetter
| Professional | $25.12 | $37.15 | $79.43 | |
BCBS
| Facility | $10.00 | $11.75 | $15.85 | |
BCBS
| Professional | $38.02 | $45.71 | $48.98 | |
Cigna
| Facility | $54.95 | $58.88 | $151.36 | |
United
| Facility | $30.90 | $66.07 | $74.13 | |
United
| Professional | $30.90 | $36.31 | $48.98 |