| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.60 | $71.23 | $174.17 | |
Aetna
| Professional | $27.72 | $44.66 | $71.23 | |
Ambetter
| Professional | $17.55 | $21.93 | $21.93 | |
BCBS
| Facility | $57.52 | $57.52 | $57.52 | |
BCBS
| Professional | $57.52 | $57.52 | $57.52 | |
Cigna
| Facility | $22.81 | $23.95 | $36.33 | |
Cigna
| Professional | $15.96 | $36.70 | $70.50 | |
United
| Professional | $15.03 | $23.88 | $71.64 |