| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.44 | $72.44 | $72.44 | |
Aetna
| Professional | $19.95 | $26.92 | $61.66 | |
Ambetter
| Professional | $11.22 | $13.18 | $15.85 | |
BCBS
| Professional | $3.47 | $18.20 | $20.42 | |
Cigna
| Facility | $56.23 | $56.23 | $56.23 | |
Cigna
| Professional | $12.88 | $38.90 | $53.70 | |
Hally Health
| Professional | $31.62 | $67.61 | $144.54 | |
United
| Professional | $15.85 | $29.51 | $46.77 |