| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.20 | $18.20 | $19.95 | |
Aetna
| Professional | $18.20 | $18.20 | $23.44 | |
Ambetter
| Professional | $12.02 | $15.49 | $17.78 | |
BCBS
| Facility | $14.13 | $14.13 | $15.85 | |
Cigna
| Facility | $20.42 | $20.42 | $20.42 | |
Cigna
| Professional | $20.42 | $20.42 | $20.42 | |
United
| Facility | $20.42 | $20.89 | $20.89 | |
United
| Professional | $20.89 | $21.88 | $24.55 |