| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.67 | $69.18 | $104.71 | |
Aetna
| Professional | $69.18 | $69.18 | $102.33 | |
Ambetter
| Professional | $64.57 | $64.57 | $64.57 | |
BCBS
| Facility | $83.18 | $83.18 | $83.18 | |
BCBS
| Professional | $83.18 | $83.18 | $83.18 | |
Cigna
| Facility | $60.26 | $75.86 | $75.86 | |
Cigna
| Professional | $75.86 | $75.86 | $75.86 | |
United
| Facility | $69.18 | $69.18 | $74.13 | |
United
| Professional | $74.13 | $81.28 | $87.10 |