| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $27.54 | $53.70 | |
Aetna
| Professional | 25 | $36.31 | $36.31 | $36.31 |
Ambetter
| Professional | $16.60 | $19.50 | $28.18 | |
BCBS
| Professional | $19.05 | $19.05 | $19.05 | |
Cigna
| Professional | $16.98 | $22.91 | $64.57 | |
United
| Professional | $13.80 | $14.45 | $25.70 |