| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.42 | $15.42 | $15.42 | |
Aetna
| Professional | $11.51 | $14.51 | $15.55 | |
Ambetter
| Professional | $12.26 | $12.69 | $12.69 | |
BCBS
| Professional | $8.76 | $12.00 | $13.20 | |
Cigna
| Professional | $10.00 | $10.00 | $16.00 | |
United
| Facility | $134.27 | $134.27 | $134.27 | |
United
| Professional | $26.17 | $33.06 | $47.00 |