| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.35 | $46.35 | $46.35 | |
Aetna
| Professional | $21.53 | $30.99 | $46.35 | |
Ambetter
| Professional | $18.50 | $18.50 | $18.50 | |
BCBS
| Professional | $20.60 | $24.67 | $82.18 | |
Cigna
| Professional | $20.00 | $27.61 | $56.00 | |
United
| Professional | $21.43 | $27.43 | $53.82 |