| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.20 | $53.70 | $67.61 | |
Aetna
| Professional | $30.20 | $32.36 | $61.66 | |
Ambetter
| Professional | $9.77 | $24.55 | $28.84 | |
BCBS
| Facility | $37.15 | $37.15 | $37.15 | |
BCBS
| Professional | $37.15 | $37.15 | $37.15 | |
Cigna
| Facility | $28.84 | $33.88 | $33.88 | |
Cigna
| Professional | $33.88 | $33.88 | $33.88 | |
United
| Facility | $30.90 | $30.90 | $32.36 | |
United
| Professional | $32.36 | $35.48 | $38.90 |