| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.57 | $89.13 | $89.13 | |
Aetna
| Professional | $64.57 | $107.15 | $218.78 | |
Ambetter
| Professional | $83.18 | $97.72 | $128.82 | |
BCBS
| Professional | $52.48 | $77.62 | $104.71 | |
Cigna
| Facility | $112.20 | $144.54 | $199.53 | |
Cigna
| Professional | $63.10 | $100.00 | $213.80 | |
United
| Facility | $72.44 | $72.44 | $72.44 | |
United
| Professional | $58.88 | $85.11 | $128.82 |