| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.00 | $31.55 | $31.55 | |
Aetna
| Professional | $15.84 | $24.92 | $31.55 | |
Ambetter
| Professional | CQ | $25.35 | $25.35 | $25.35 |
BCBS
| Facility | $51.41 | $62.39 | $83.93 | |
BCBS
| Professional | $32.81 | $44.94 | $49.43 | |
Cigna
| Facility | $60.00 | $65.00 | $70.00 | |
Cigna
| Professional | $15.55 | $42.46 | $114.34 | |
United
| Professional | $22.51 | $30.37 | $33.67 |