| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.48 | $64.57 | $69.18 | |
Aetna
| Professional | $40.74 | $51.29 | $64.57 | |
Ambetter
| Professional | $54.95 | $64.57 | $69.18 | |
Ambetter
| Professional | 25 | $66.07 | $66.07 | $66.07 |
BCBS
| Facility | $72.44 | $72.44 | $97.72 | |
BCBS
| Professional | $64.57 | $77.62 | $95.50 | |
Cigna
| Professional | $46.77 | $66.07 | $89.13 | |
Qualchoice
| Professional | $64.57 | $75.86 | $83.18 | |
United
| Facility | $123.03 | $158.49 | $302.00 | |
United
| Professional | $47.86 | $63.10 | $83.18 |