| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.88 | $21.88 | $23.99 | |
Aetna
| Professional | $21.88 | $21.88 | $26.92 | |
Ambetter
| Professional | $18.62 | $21.88 | $21.88 | |
BCBS
| Facility | $14.45 | $14.45 | $15.85 | |
Cigna
| Facility | $21.88 | $21.88 | $21.88 | |
Cigna
| Professional | $21.88 | $21.88 | $21.88 | |
United
| Facility | $21.88 | $22.91 | $22.91 | |
United
| Professional | $19.95 | $22.91 | $24.55 |