| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.90 | $23.91 | $29.62 | |
Aetna
| Professional | $16.98 | $20.12 | $29.03 | |
Ambetter
| Professional | $25.00 | $25.00 | $25.00 | |
BCBS
| Professional | $20.54 | $25.67 | $27.18 | |
Cigna
| Professional | $16.35 | $25.75 | $34.84 | |
Qualchoice
| Professional | $28.75 | $28.75 | $28.75 | |
United
| Professional | $15.50 | $20.20 | $33.47 |