| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.95 | $21.88 | $21.88 | |
Aetna
| Professional | $18.62 | $21.88 | $29.51 | |
Ambetter
| Professional | $18.62 | $21.88 | $30.20 | |
BCBS
| Facility | $23.99 | $23.99 | $23.99 | |
BCBS
| Professional | $23.99 | $23.99 | $23.99 | |
Cigna
| Facility | $18.20 | $21.88 | $21.88 | |
Cigna
| Professional | $21.88 | $21.88 | $21.88 | |
United
| Professional | $19.05 | $19.95 | $23.99 |