| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.42 | $20.42 | $20.42 | |
Aetna
| Professional | $15.14 | $19.05 | $85.11 | |
Ambetter
| Professional | $19.95 | $22.91 | $31.62 | |
BCBS
| Professional | $10.96 | $16.60 | $23.99 | |
Cigna
| Professional | $19.05 | $19.50 | $24.55 | |
United
| Facility | $16.60 | $19.50 | $257.04 | |
United
| Professional | $25.12 | $33.88 | $54.95 |