| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.81 | $64.57 | $87.10 | |
Ambetter
| Professional | $58.88 | $89.13 | $91.20 | |
BCBS
| Professional | $58.88 | $58.88 | $58.88 | |
Cigna
| Facility | $58.88 | $58.88 | $141.25 | |
Cigna
| Professional | $43.65 | $43.65 | $102.33 | |
United
| Facility | $36.31 | $63.10 | $70.79 | |
United
| Professional | $26.30 | $40.74 | $63.10 |