| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.07 | $66.07 | $67.61 | |
Aetna
| Professional | $44.67 | $57.54 | $75.86 | |
Ambetter
| Professional | $61.66 | $61.66 | $74.13 | |
BCBS
| Professional | $60.26 | $66.07 | $87.10 | |
Cigna
| Professional | $63.10 | $83.18 | $263.03 | |
Qualchoice
| Professional | $85.11 | $85.11 | $85.11 | |
United
| Professional | $53.70 | $69.18 | $93.33 |