| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.57 | $64.57 | $72.44 | |
Aetna
| Professional | $64.57 | $64.57 | $77.62 | |
Ambetter
| Professional | $52.48 | $57.54 | $63.10 | |
BCBS
| Facility | $50.12 | $50.12 | $50.12 | |
Cigna
| Facility | $72.44 | $72.44 | $72.44 | |
Cigna
| Professional | $72.44 | $72.44 | $72.44 | |
United
| Facility | $67.61 | $69.18 | $69.18 | |
United
| Professional | $74.13 | $77.62 | $87.10 |