| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.26 | $64.08 | $503.62 | |
Aetna
| Professional | $47.89 | $53.67 | $77.06 | |
Ambetter
| Professional | $69.72 | $69.72 | $80.26 | |
BCBS
| Facility | $94.74 | $94.74 | $94.74 | |
BCBS
| Professional | $49.35 | $65.31 | $66.17 | |
Cigna
| Professional | $48.32 | $72.98 | $95.08 | |
Qualchoice
| Professional | $80.18 | $80.18 | $92.30 | |
United
| Professional | $44.41 | $63.23 | $95.58 |