| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.67 | $104.71 | $104.71 | |
Aetna
| Professional | $23.99 | $37.15 | $87.10 | |
Ambetter
| Professional | $37.15 | $46.77 | $63.10 | |
Ambetter
| Professional | 25 | $44.67 | $44.67 | $44.67 |
BCBS
| Professional | $33.88 | $45.71 | $74.13 | |
Cigna
| Professional | $31.62 | $47.86 | $75.86 | |
Medcost
| Facility | $27.54 | $36.31 | $50.12 | |
United
| Professional | $28.18 | $40.74 | $66.07 | |
Wellcare
| Facility | $223.87 | $223.87 | $223.87 | |
Wellcare
| Professional | $302.00 | $302.00 | $302.00 |