| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.51 | $64.57 | $144.54 | |
Aetna
| Professional | $16.98 | $22.91 | $81.28 | |
Ambetter
| Professional | $18.20 | $21.38 | $33.88 | |
BCBS
| Facility | $109.65 | $109.65 | $151.36 | |
BCBS
| Professional | $19.05 | $19.05 | $25.70 | |
Cigna
| Facility | $104.71 | $107.15 | $120.23 | |
Cigna
| Professional | $21.88 | $31.62 | $74.13 | |
Qualchoice
| Professional | $27.54 | $27.54 | $38.90 | |
United
| Facility | $162.18 | $208.93 | $398.11 | |
United
| Professional | $16.60 | $23.99 | $60.26 |