| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.51 | $53.70 | $58.88 | |
Aetna
| Professional | $20.89 | $22.91 | $52.48 | |
Ambetter
| Professional | $12.30 | $12.30 | $12.30 | |
BCBS
| Facility | $37.15 | $37.15 | $37.15 | |
BCBS
| Professional | $37.15 | $37.15 | $37.15 | |
Cigna
| Facility | $19.05 | $22.39 | $42.66 | |
Cigna
| Professional | $12.59 | $27.54 | $50.12 | |
United
| Facility | $25.70 | $26.30 | $34.67 | |
United
| Professional | $12.30 | $16.98 | $64.57 |