| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.15 | $47.86 | $52.48 | |
Aetna
| Professional | $26.92 | $37.15 | $48.98 | |
Aetna
| Professional | 25 | $36.31 | $36.31 | $36.31 |
Ambetter
| Professional | $30.20 | $36.31 | $47.86 | |
BCBS
| Professional | $36.31 | $53.70 | $53.70 | |
Cigna
| Professional | $53.70 | $54.95 | $144.54 | |
United
| Professional | $33.11 | $42.66 | $57.54 |