| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.90 | $91.20 | $338.84 | |
Aetna
| Professional | $21.88 | $52.48 | $93.33 | |
Ambetter
| Professional | $30.90 | $30.90 | $30.90 | |
BCBS
| Professional | $72.44 | $72.44 | $95.50 | |
Cigna
| Professional | $24.55 | $53.70 | $114.82 | |
Qualchoice
| Professional | $35.48 | $35.48 | $35.48 | |
United
| Professional | $22.39 | $57.54 | $107.15 |