| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.74 | $11.74 | $11.74 | |
Aetna
| Professional | $10.16 | $11.74 | $27.95 | |
Ambetter
| Professional | $12.52 | $14.73 | $18.82 | |
BCBS
| Facility | $138.82 | $138.82 | $138.82 | |
BCBS
| Professional | $10.00 | $10.00 | $20.91 | |
Cigna
| Professional | $11.57 | $14.49 | $21.55 | |
Medcost
| Facility | $9.61 | $12.53 | $20.39 | |
Medcost
| Professional | $13.74 | $13.74 | $13.74 | |
United
| Professional | $10.40 | $12.57 | $19.34 |