| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.19 | $20.19 | $20.19 | |
Aetna
| Professional | $15.07 | $19.00 | $20.97 | |
Ambetter
| Professional | $12.26 | $16.60 | $16.60 | |
BCBS
| Professional | $10.95 | $15.00 | $24.00 | |
Cigna
| Professional | $19.00 | $20.00 | $27.00 | |
United
| Professional | $26.17 | $33.06 | $46.00 |