| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.67 | $34.14 | $144.66 | |
Aetna
| Professional | $19.28 | $28.26 | $83.01 | |
Ambetter
| Professional | $25.92 | $25.92 | $30.30 | |
BCBS
| Facility | $110.22 | $110.22 | $110.22 | |
BCBS
| Professional | $18.92 | $25.04 | $25.47 | |
Cigna
| Facility | $96.56 | $106.39 | $120.74 | |
Cigna
| Professional | $22.33 | $29.96 | $71.78 | |
Qualchoice
| Professional | $29.81 | $29.81 | $97.62 | |
United
| Facility | $133.00 | $203.32 | $384.53 | |
United
| Professional | $17.87 | $30.37 | $78.33 |