| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.11 | $131.83 | $251.19 | |
Aetna
| Professional | $57.54 | $81.28 | $128.82 | |
Ambetter
| Professional | $67.61 | $75.86 | $102.33 | |
BCBS
| Professional | $79.43 | $100.00 | $128.82 | |
Cigna
| Professional | $70.79 | $151.36 | $218.78 | |
Medcost
| Facility | $81.28 | $107.15 | $177.83 | |
United
| Facility | $64.57 | $64.57 | $64.57 | |
United
| Professional | $67.61 | $93.33 | $177.83 | |
Wellcare
| Facility | $549.54 | $549.54 | $549.54 |