| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.87 | $30.88 | $116.31 | |
Aetna
| Professional | $17.32 | $22.55 | $56.75 | |
Ambetter
| Professional | $20.44 | $20.44 | $20.44 | |
BCBS
| Facility | $195.09 | $236.76 | $318.52 | |
BCBS
| Professional | $17.02 | $29.65 | $49.97 | |
Cigna
| Facility | $90.25 | $114.45 | $230.83 | |
Cigna
| Professional | $17.98 | $37.28 | $110.25 | |
United
| Facility | $134.44 | $170.58 | $199.49 | |
United
| Professional | $14.49 | $18.86 | $67.59 |