| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.61 | $79.43 | $120.23 | |
Aetna
| Professional | $43.65 | $72.44 | $74.13 | |
Ambetter
| Professional | $34.67 | $41.69 | $48.98 | |
BCBS
| Facility | $70.79 | $70.79 | $70.79 | |
BCBS
| Professional | $70.79 | $70.79 | $70.79 | |
Cigna
| Facility | $74.13 | $74.13 | $74.13 | |
Cigna
| Professional | $60.26 | $60.26 | $60.26 | |
United
| Facility | $63.10 | $66.07 | $85.11 | |
United
| Professional | $34.67 | $43.65 | $162.18 |