| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.74 | $48.98 | $61.66 | |
Ambetter
| Professional | $38.02 | $40.74 | $53.70 | |
Ambetter
| Professional | 25 | $43.65 | $43.65 | $43.65 |
BCBS
| Professional | $40.74 | $40.74 | $60.26 | |
Cigna
| Professional | $52.48 | $52.48 | $52.48 | |
Qualchoice
| Professional | $46.77 | $46.77 | $46.77 | |
United
| Professional | $37.15 | $52.48 | $75.86 |