| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.18 | $346.74 | $1,819.70 | |
Aetna
| Professional | $14.45 | $33.88 | $100.00 | |
Ambetter
| Professional | $16.60 | $21.88 | $54.95 | |
BCBS
| Professional | $58.88 | $58.88 | $58.88 | |
Cigna
| Facility | $154.88 | $154.88 | $154.88 | |
Cigna
| Professional | $10.72 | $24.55 | $47.86 | |
United
| Facility | $128.82 | $331.13 | $851.14 | |
United
| Professional | $13.18 | $27.54 | $60.26 |