| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.51 | $25.51 | $65.75 | |
Aetna
| Professional | $21.02 | $48.70 | $54.02 | |
Ambetter
| Professional | $13.31 | $13.31 | $13.31 | |
BCBS
| Professional | $36.85 | $36.85 | $36.85 | |
Cigna
| Professional | $12.08 | $28.17 | $62.39 | |
United
| Professional | $16.29 | $29.27 | $66.53 |