| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.88 | $21.88 | $21.88 | |
Aetna
| Professional | $12.02 | $18.20 | $23.99 | |
Ambetter
| Professional | $19.50 | $19.50 | $19.95 | |
BCBS
| Professional | $28.18 | $30.20 | $38.90 | |
Cigna
| Facility | $44.67 | $44.67 | $44.67 | |
Cigna
| Professional | $14.13 | $14.13 | $14.13 | |
Medcost
| Professional | $19.95 | $19.95 | $19.95 | |
Medcost
| Facility | $16.98 | $25.70 | $47.86 | |
United
| Professional | $9.77 | $13.80 | $17.78 |