| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.91 | $73.91 | $76.23 | |
Aetna
| Professional | $28.80 | $64.56 | $76.23 | |
Ambetter
| Professional | $62.20 | $77.75 | $88.85 | |
BCBS
| Facility | $68.84 | $68.84 | $68.84 | |
BCBS
| Professional | $68.84 | $68.84 | $68.84 | |
Cigna
| Facility | $59.47 | $59.47 | $59.47 | |
Cigna
| Professional | $43.41 | $43.41 | $59.47 | |
United
| Professional | $26.59 | $42.94 | $93.36 |