| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.20 | $87.10 | $93.33 | |
Aetna
| Professional | $30.20 | $30.20 | $34.67 | |
Ambetter
| Professional | $8.71 | $19.95 | $28.84 | |
BCBS
| Facility | $23.44 | $23.44 | $23.44 | |
Cigna
| Facility | $33.88 | $33.88 | $33.88 | |
Cigna
| Professional | $33.88 | $33.88 | $33.88 | |
United
| Facility | $31.62 | $32.36 | $32.36 | |
United
| Professional | $33.88 | $36.31 | $40.74 |