| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.96 | $10.96 | $12.02 | |
Aetna
| Professional | $10.96 | $10.96 | $12.88 | |
Ambetter
| Professional | $10.96 | $10.96 | $10.96 | |
BCBS
| Facility | $6.61 | $6.61 | $8.71 | |
Cigna
| Facility | $10.96 | $10.96 | $10.96 | |
Cigna
| Professional | $10.96 | $10.96 | $10.96 | |
United
| Facility | $10.47 | $11.48 | $11.48 | |
United
| Professional | $10.00 | $11.48 | $12.30 |