| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.42 | $72.44 | $138.04 | |
Aetna
| Professional | $19.05 | $22.91 | $32.36 | |
Ambetter
| Professional | $12.30 | $12.30 | $12.30 | |
BCBS
| Facility | $28.84 | $40.74 | $190.55 | |
BCBS
| Professional | $28.84 | $33.11 | $46.77 | |
Cigna
| Facility | $19.05 | $72.44 | $165.96 | |
Cigna
| Professional | $13.18 | $14.79 | $40.74 | |
Medcost
| Facility | $22.91 | $28.18 | $50.12 | |
United
| Facility | $26.30 | $29.51 | $34.67 | |
United
| Professional | $12.30 | $17.38 | $29.51 |