| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.57 | $64.57 | $117.49 | |
Aetna
| Professional | $64.57 | $64.57 | $100.00 | |
Ambetter
| Professional | $61.66 | $61.66 | $61.66 | |
BCBS
| Facility | $79.43 | $79.43 | $79.43 | |
BCBS
| Professional | $79.43 | $79.43 | $79.43 | |
Cigna
| Facility | $60.26 | $72.44 | $72.44 | |
Cigna
| Professional | $72.44 | $72.44 | $72.44 | |
United
| Facility | $66.07 | $66.07 | $69.18 | |
United
| Professional | $69.18 | $77.62 | $83.18 |