| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.14 | $30.14 | $31.10 | |
Aetna
| Professional | $11.75 | $26.34 | $31.10 | |
Ambetter
| Professional | $25.37 | $25.37 | $36.24 | |
BCBS
| Facility | $28.08 | $28.08 | $28.08 | |
BCBS
| Professional | $28.08 | $28.08 | $28.08 | |
Cigna
| Facility | $24.26 | $24.26 | $24.26 | |
Cigna
| Professional | $17.71 | $17.71 | $24.26 | |
United
| Professional | $10.85 | $17.51 | $38.08 |