| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.12 | $25.12 | $25.12 | |
Aetna
| Professional | $15.85 | $38.02 | $169.82 | |
Ambetter
| Professional | $16.98 | $34.67 | $38.90 | |
BCBS
| Professional | $19.50 | $30.20 | $47.86 | |
Cigna
| Professional | $25.12 | $42.66 | $45.71 | |
United
| Professional | $15.85 | $36.31 | $53.70 |